Before and Aftercare Program

Before and Aftercare Program
Plan Options
Please check one of the following payment plans *

Weekly Plans Pay Per Session
All Week Plans
Full Week - Before Care Program Only

1 Child = $35 Per Week 2 Children = $70 Per Week 3 Children = $105 Per Week More Than 3 Children = $105, Plus $35 Per Additional Child
Full Week - After Care Program Only

1 Child = $35 Per Week 2 Children = $70 Per Week 3 Children = $105 Per Week More Than 3 Children = $105, Plus $35 Per Additional Child
Full Week - Before and After Care Program

1 Child = $50 Per Week 2 Children = $100 Per Week 3 Children = $150 Per Week More Than 3 Children = $150, Plus $50 Per Additional Child
Per Session Plan
Per Session Rates = $25.00 per session, per child including Early Release Days 1:00 - 6:00 p.m.
What Day(s)? *

Monday Tuesday Wednesday Thursday Friday
Will this be every week or will attendance vary? *

Every week Other
Important Information about Before/Aftercare:
Fees - Non-Before/After Care Students:

3:15 - 4:00 = $10 Fee.

After 4:00 p.m. = $25 per session per child.

Check, money orders, and credit card are accepted. Student's name and week paid must be visible on checks and money orders. There will be a $25 fee for all late payments.

$1 charge will be applied for every minute after 6:00 p.m. for late pick up.
Child's Name *
Address *
Telephone Number *
DOB *
Grade *
Parent's Signature *

Clear
Student Information
Enrollment Start Date *

Month Day Year
Date
Name (Child #1) *
Grade *
Name (Child #2)
Grade
Name (Child #3)
Grade
Name (Child #4)
Grade
Parent/Guardian Information:
Parent/Guardian Name *
Home Phone *
Cell Phone *
Work Phone *
Email *
example@example.com
Parent/Guardian Name
Home Phone
Cell Phone
Work Phone
Email
example@example.com
My child/children have the following allergies *
My child/children may not eat the following food/drinks *
Persons authorized to pick up my child/children:
Name *
Relationship to student *
Home Phone *
Work Phone *
Cell Phone *
Name
Relationship to student
Home Phone
Work Phone
Cell Phone
Name
Relationship to student
Home Phone
Work Phone
Cell Phone
I authorize Athenian Academy of Technology and the Arts Before and After Care staff to call 911 in the event of an emergency, after all efforts to contact the above indicated persons have been made without success.
Parent/Guardian Signature *

Clear
Authorized Persons
Please note, if a person is on the list to pick up your child(ren), we will only release them with proper ID. It is your responsibility to keep the list updated. We are not authorized to release your child(ren) unless they are on the list. We also will release them to anyone on your list unless you notify us or remove that person.

In addition, be mindful, that the office closes at 3:30 p.m. If there is a change in pickup for an aftercare student(s), please contact the office no later than 2:00 p.m. or email me at sharon.long@aaota.org no later than 3:00 p.m. These policies are in place to protect your child(ren No exceptions will be made.
Parent/Guardian Signature *

Clear
Payment Information
Before and After Care is a service Athenian Academy of Technology and the Arts provides for a weekly fee. Payment is due before the service can be provided. Please plan to pay a week prior to service (every Friday Fees are payable via check, money order, cash, or credit card.

All fees not paid in advance or by the close of business on the first day of service will accrue a late fee of $25.00. Failure to pay late fees and tuition by the last day of service for the week will result in the child(ren) being automatically withdrawn from the program for the next week until fees are paid. All outstanding balances must be paid before your child(ren) can attend the Before and After Care program.

If you will be late picking up your child(ren), please notify Aftercare. All students must be signed out by 6:00 p.m. Beginning at 6:01 p.m., a late pick-up fee of $1.00 per minute will be assessed per student for every minute sign-out has not been completed. Failure to pay for late fees will result in the child(ren) being withdrawn from the program until fees are paid. Additionally, students will not be permitted to participate in extra school functions such as: dances, field trips, field day, sports, and clubs until all fees are paid.

I understand that I am committing myself to participation in the Athenian Academy of Technology and the Arts Before and After Care program for the duration of the school year, unless events make withdrawal necessary. I understand that I am responsible for payment of contracted fees, paid in advance, at least by the preceding Friday. In addition, I understand that if my child(ren) is not signed out by 6:00 p.m. a late fee of $1.00 per minute (per student) will be charged. The Athenian Academy Before/After Care program reserves the right to terminate childcare services if fees are not paid in a timely manner or if behavior becomes too disruptive to the Before/After Care environment. Any outstanding fees owed to the school will result in your child being ineligible to participate in school function, including field trips until payment is rendered.
Parent/Guardian Printed Name *
Parent/Guardian Signature *

Clear
We are looking forward to welcoming each of you back and servicing your kiddos in our Before and After Care Program. New families joining our Before and Aftercare Program, please note

The After Care Program services students from 3:00 p.m. - 6:00 p.m. Any student who is picked up after 6:00 p.m. will receive a late pickup violation. After five violations during the school year, a student may be permanently dismissed from the Before and After Care Program for the remainder of the year. If you have any questions about this policy, fees and pricing, or the Before and After Care Program in general, please contact me via email at sharon.long@aaota.org.

Sincerely,

Sharon Long

Before and Aftercare Program Director
Parent/Guardian Signature *

Clear
Should be Empty:

Before and Aftercare Program

Plan Options

All Week Plans

Per Session Plan

Important Information about Before/Aftercare:

Student Information

Parent/Guardian Information:

Persons authorized to pick up my child/children:

Authorized Persons

Payment Information