Before and After School Care Reg 2023-24

Before & After School Care Information

2023-24
Please fill out for all children attending Explorers. Explorers BAS will send you a confirmation email within 48 hours with confirmation and payment instructions.

$50 registration fee per family is due at the time of registration to

explorerspreschoolandbas@gmail.com
1st Child's Name:*

First NameLast Name
Gender:*

MaleFemale
Date of Birth:*

MonthDayYear
Date
Grade in 2023-24 school year
Type a question*

Before & After School Care - $260/monthAfter School Care - $210/monthBefore School Care - $150/monthKindergarten Care - $145/month (Before & After on KG days only- NO FULL DAYS PROVIDED)Prepaid Casual Care - $150 for 10 SessionsPrepaid Casual Care - $300 for 20 Sessions
2nd Child's Name:
Gender:

MaleFemale
Date of Birth:

MonthDayYear
Date
Grade in 2023-24 school year
Type a question

Before & After School Care - $260/monthAfter School Care - $210/monthBefore School Care - $150/monthKindergarten Care - $145/month (Before & After on KG days only- NO FULL DAYS PROVIDED)Prepaid Casual Care - $150 for 10 SessionsPrepaid Casual Care - $300 for 20 Sessions
Please add addition children here:
Parent/Guardian Contact Information:
Mother's Name:
Mother's Email:
Mother's Cell Phone:

Area CodePhone Number
Mother's Business Phone:

Area CodePhone Number
Father's Name:
Father's Email:
Father's Cell Phone:
Father's Business Phone:
Please state any shared custody, if applicable:
(Divorced/separated with shared bi-weekly custody)
Child's primary Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you new to Canada?

NoYes
If yes, where are you from:
How long have you been in Canada?
Number of Years
First Language spoken at home:
Second Language spoken at home:
Do your children have health issues? If so please describe:
Do your children have allergies? If so list here.
Do your children have any physical, social, or emotional challenges we should be aware of? If so describe here:
Two other people to contact in case of emergency if parents cannot be contacted:
First Emergency Contact's Name*

First NameLast Name
Relationship to Child:*
Cell Phone:*

Area CodePhone Number
Home Phone:

Area CodePhone Number
Second Emergency Contact's Name*

First NameLast Name
Relationship to Child:*
Cell Phone:*

Area CodePhone Number
Home Phone:

Area CodePhone Number
Release for Pick ups

Please list the names of the people into whose custody we may dismiss your child(ren). Your children will not be allowed to leave the school with anyone not listed below. You can add people to this list at any time.
Please list others that can pick up here:
Is your child also attending Tykes N Tots Daycare at Cardinal Leger School?

YesNo
Please provide any further information relating to your child that would be helpful in understanding and caring for your child:
Payments:

$50 registration fee per family at the time of registration

Cheque payments are made out to Explorers
Fees are pre-paid monthly with 10 postdated cheques for the 1st or 15th of every month or one for prepaid casual care.

or 10 transfers set up monthly.

For the first and second child of the same family, the above rates apply, for the third/fourth child the rate is discounted 25% .
AGREEMENT: One month written notice to withdraw or change your registration status of your child is required. Notice must be given on the first of the month. I understand that a full social resume must be completed before my enrolment is complete. I hereby acknowledge that I am aware of the conditions stated in this agreement and agree to abide by these requirements.
Signature

Clear
Should be Empty:

Before & After School Care Information

Parent/Guardian Contact Information:

Release for Pick ups