2023-2024 LearningEdge After School Registration
Thank you for entrusting your child's education with LearningEdge. 

$100 materials fee is due at registration (prorated)
Please submit via Zelle to LearningEdgeCenter@gmail.com
Checks are also accepted. Thank you.
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Student Last Name *
Student First Name *
Grade *
School *
Required
Teacher / Rm# (if known)
Home Address
Phone #
Parent #1 Name
Parent #1 Phone
Parent #1 Email
Parent #2 Name
Parent #2 Phone
Parent #2 Email
Medications / Allergies
Please list any allergies or health information.
#1 Emergencry Contact
#1 Emergency Contact Phone
#2 Emergency Contact
#2 Emergency Contact Phone
Start Date
Please let us know the date you would like to start.
MM
/
DD
/
YYYY
Elementary After School
10% Discount for 2nd child (calculated with invoice)
20% Discount for 3rd child (calculated with invoice)
Middle School - After School
10% Discount for 2nd child (calculated with invoice)
20% Discount for 3rd child (calculated with invoice)
High School - Study Hall (M~Th: after school ~ 7pm)
10% Discount for 2nd child (calculated with invoice)
20% Discount for 3rd child (calculated with invoice)
After-School: Days of Week Attending
Click on Days of Week that student will be attending : Mon-Fri ... Mon-Thu ... or individual days
Policies *
a) Tuition is due 10 days after receipt of invoice. A $25 late fee will be charged after the 10th day. $50 charge for returned checks. b) Missed days are nonrefundable. Tuition can be prorated with 4 week notification for weeks that a student will not be able to attend class. Tuition can only be prorated on a weekly basis. c) $100 materials fee is due at registration. d) LearningEdge reserves the right to charge $1 per minute starting 30 minutes after the end of class. If after 8:30pm and LearningEdge is unable to reach a parent/guardian or an alternate contact, the police department will be contacted.
Required
Photo Release Consent *
I hereby grant permission to LearningEdge to use photographs and/or video of my child in publications, news releases, online, and in other communications.
Required
Parent/Guardian Name *
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