Before and Afterschool Care Registration

All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

Expected Start Date

MonthDayYear

Expected Departure Date

MonthDayYear

School Attending

Grade Attending

Daycare Pickup Time

I authorize The Drop Zone to transport my child(ren) from attending school to The Drop Zone.*

First Name*

Last Name*

Gender*

FemaleMale

Birth Date*

MonthDayYear

Home Phone*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Health Care #*

Doctors Name*

First NameLast Name

Doctors Phone Number*

Area CodePhone Number

Full Name*

First NameLast Name

Cell*

Area CodePhone Number

Work

Area CodePhone Number

E-mail*

Address - Same As Child*

YesNo

If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Full Name

First NameLast Name

Cell

Area CodePhone Number

Work

Area CodePhone Number

E-mail

Address - Same As Childs

YesNo

If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is your child immunized?*

YesNo

Does your child have any allergies?*

YesNo

If yes please list, including any food or drug allergies.

Does your child have any medical conditions?

Does your child require any medication? If yes, please list these medications.

Do you authorize us to administer the medications listed above?

YesNo

Please list the people authorized to pick up your child.

Relationship:

If other, Enter here:

Comments

Full Name*

First NameLast Name

Cell*

Area CodePhone Number

Work

Area CodePhone Number

All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

Please inform your child's school office AND their teacher that The Drop Zone will be picking up your child from school, and confirm the scheduled pickup time for Daycare Center's.

After-School Care is Monday through Friday, from 2:30pm to 6:30pm. Children will have access to help with homework, snacks, various activities, and free play. The Drop Zone After-School Care Program runs in conjunction with the Traditional Cumberland County Calendar. We do not provide After-School pickup to E.E. Miller beyond the last day of school for Traditional Cumberland County Schools.

The After-School Care fee for 2022 - 2023 school year is invoiced by email on Wednesday and payable on Thursday prior to the start of the school week. $100 weekly (1 child), $195 weekly (2 children) & $285 (3 children) attending the same school school. Payments received on Friday will incur a $25 late fee. After-School Care fees that are still unpaid on Saturday will result in suspension from care. No prorating, no exceptions.

Afterschool Care participants must be picked up from The Drop Zone by 6:30pm. Participants in care after this time will incur additional charges at the UNRESERVED rate. Partcipants in care past 7:00pm will incur a late fee of $1.00 per minute, per child. These additional fees are payable upon pickup.

Early Release Days will incur additional fees at the RESERVED rate. After-Schoolers are welcome to reserve Workday Camp for when they are on a scheduled holiday, workday, and/or break/intercession.

After-School Handbook contains detailed policies, procedures and additional After-School Care information. Please feel free to request a brochure.

The Drop Zone After-School Registration & Transportation Authorization Form

Afterschool Care Registration

Student Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Other Infomation

Emergency Contact - Other than Parent/Guardian