• Extended Day and After-School Enrollment Form

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  • My child will attend After-School the following hours and days. Please check the days for each time you desire:

  • Your child must be picked up at or before the time chosen on this contract, or a late pick-up fee of $1.00/minute will be assessed. If your child is absent from the program for any reason, your fee must still be paid.

  • Others authorized to pick up your child:

  • People NOT ALLOWED to pick up your child:

  • Please read over carefully and sign:

    I have read and agree with the After-School Fees and Information. I have read, signed, and agree to the terms of the After-School Agreement Form and the After-School Enrollment Form (this form). I understand that the After-School Program is not a drop-in program. My child will come on the days specified. I also understand that fees are due even if my child is absent from the program. I understand that my child must be picked up at the designated time and that the late fees listed above will be applied on my next monthly statement. I understand that any changes must be approved by an After-School employee and sent in writing.

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