2024-2025 BASC Registration Form

Before and After School Care Registration Form

2024-2025
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Grade in 2024/2025 (if your students grade is not available in the drop down, that class is full. Please email Brianna Prado, bprado@rentonchristian.org, to get on the wait list)*
Person(s) Responsible for financial obligation*
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*

Area CodePhone Number
Does your student have an allergy? (specific allergy information will be retrieved from FACTS)*

YesNo
**ALL MEDICAL AND EMERGENCY CONTACT INFORMATION WILL BE COPIED FROM RCS SCHOOL REGISTRATION INFORMATION**
Click here for RATES AND FINANCIAL POLICY AGREEMENT

**updated for 2024-2025**
By signing below, I acknowledge that I have read, understand and agree with the information on the Rates and Financial Policies Agreement Form (Includes $50 Registration fee per child, non-school days, late pick up fee, and withdrawal policy information) .*

Clear

Before and After School Care Registration Form