Before / After School Care Registration
As we prepare for the 2021-2022 school year, I am happy to announce the return of our Before and After School Care Program for students Kindergarten - Grade 8.  Please utilize the form below to register your child/children.

Registration must be submitted by Wednesday, August 25, 2021.
A separate communication will be sent out regarding payment through Community Pass.

Please note, multiple children from the same family need to be registered individually.  (Please submit 1 form for each child)

Before School Care
Will begin on Monday, September 13, 2021
Session time – 7:00 am – 8:05 am
All students in grades K-8 are eligible to attend
5 days $1,428.00 / year 3 days $857.00 / year
4 days $1,142.00 / year 2 days $571.00 / year
There is a $15 non-refundable registration fee (per child)

After School Care
Will begin on Monday, September 13, 2021
Session time(s) – Session I 2:55 pm – 4:30 pm or  Session II 2:55 pm - 6:00 pm
All students in grades K-8 are eligible to attend
Session I - 4:30 Pick Up Session II - 6:00 Pick Up
5 days $2,150.00 / year      5 days $3,060.00 / year
4 days $1,750.00 / year      4 days $2,500.00 / year
3 days $1,340.00 / year      3 days $1,910.00 / year
2 days $910.00 / year      2 days $1,300.00 / year
There is a $25 non-refundable registration fee (per child)
Sign in to Google to save your progress. Learn more
Student Name (full name First & Last) *
Grade *
I am registering my student for Before Care / After Care / Both *
My child will be attending Before School Care: *
My child will be attending After School Care *
Parent/Guardian Name (full name First & Last) *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rochelle Park Board of Education. Report Abuse