Editing previous response:

Please fix the highlighted areas below before submitting.

AfterCare Enrollment Form 2024-25

Please complete the form below. Required fields marked with an asterisk *

NOTICE!!! PLEASE BE ADVISED ONLY STUDENTS WHO HAVE PRE-REGISTERED FOR AFTERCARE MAY ATTEND. We are accepting applications on a First Come First Service basis. We will notify you once your registration has been approved. Students cannot attend AfterCare until their registration has been approved.

AfterCare is open to all students in Preschool through Grade 5, from 3 pm to 6 pm daily when school is in session.

AfterCare cost is $12.00 per hour, per student (billed in 15-minute increments). Student's must be picked up by 6 pm. Penalties apply for late pick-up. Please see the AfterCare Coordinator for further information.

AfterCare services will be billed automatically to your FACTS account. Families that prepaid their tuition should contact the business office to make payment arrangements.

Parent Contact

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Primary Phone*

Answer Required

Secondary (Work) Phone

Answer Required

Student Information

Student Name*

Answer Required

Student Grade*

Answer Required

Additional Students

If you are enrolling multiple students please enter the name(s) and grade(s) for each.

Answer Required

Days and Time

You can only attend AfterCare on the days you are registered for.

Which days will you be using aftercare?*

Answer Required

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

What time will you typically pick up your child?*

Answer Required

Additional Information/Instructions

Please describe any allergies, medical concerns, or pick-up restrictions

Answer Required

Confirmation Email

Email Required