Fall Fee Contract

Fall Fee Contract

June 1, 2024-July 31, 2024
Mother's Name*

First NameLast Name
Father's Name*

First NameLast Name
Child's Name*

First NameLast Name
My child will be attending:*

Part Time (2-3 days)Full Time (4-5 days)Before & After SchoolPre-School Only
Full Time

4-5 days a week
Please select days attending

MondayTuesdayWednesdayThursdayFriday
Please indicate drop off and pick up times.
Part Time

2-3 days a week
Please select days attending

MondayTuesdayWednesdayThursdayFriday
Please indicate drop off and pick up times.
Before & After School Care
School System

MSDHCCSC
Before School

MondayTuesdayWednesdayThursdayFriday
Drop of times:
After School

MondayTuesdayWednesdayThursdayFriday
Pick up times:
Pre-School Only

Monday thru Thursday 8:30-11:30am
Please select days attending

MondayTuesdayWednesdayThursday
All invoices will be emailed out on Wednesday and all Fee Payments are due the Friday before the week of care.
Parent/Guardians Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Full Time