Before/After Care Re-Enrollment Form

Cornerstone Classical Academy Extended Care Program Enrollment Form
Enrollment deposit fee payable using link at the bottom of this form:

One Scholar: $50; Two Scholars: $90; Three Scholars: $120
Scholar #1 Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Grade (2026-2027) school year)
Scholar #2 Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Grade (2026-2027) school year)
Scholar #3 Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Grade (2026-2027) school year)
Do any of your children have any allergies or require an EpiPen?
If Yes, please add name and explain:
Legal Guardian/Parent Contact

First NameLast Name
Mobile Number
Format: (000) 000-0000.
E-mail
example@example.com
Please list those that are authorized to pick up your child/children other than the parents:

First/Last NameRelationshipMobile Number
First/Last NameRelationshipMobile Number
Re-Enrollment Session
Please initial that you have read the handbook.
My Products
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Enrollment Fee for 1 Student
$50.00 Quantity



Enrollment Fee for 2 Students
$90.00 Quantity



Enrollment Fee for 3 Students
$120.00 Quantity



Total

$0.00
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