Afterschool Program

AFTER SCHOOL PROGRAM APLICATION

* Indicates required field

Family Name *

Children & Grades: *

The after School Program is from: 3:10 pm to 6:00 pm on Monday, Wednesday, Thursday and Friday. On Tuesday from 1:50 pm to 6:00 pm. Only people listed on your emergency card can pick up your child. Please make sure that your card is updated.

The Monthly Fee Schedule is below. Please mark your selection:

After School (until 6:00 pm) *

One Child $225 Two Children $350 Each Additional Child +$50

Before School (6:45 am - 7:30 am) *

One Child $75 Two Children $150 Each Additional Child +$50

Daily Rate: $20 per day (Per Child)
These fees are for each month September 2021 through May 2022. These fees are the same regardless the number of school days in these months.

Fees for August 2021 and June 2022 $40 for after school and $20 before school .

Payments Plan *

I will pay the office by check or credit card before the first of each month Please add the monthly amount to my tuition (must use FACTS Tuition Plan)

Parent's Full Name *

Signature *

Submit