After School Program Enrollment Form

After School Program Enrollment Form

2026-2027
ULE is pleased to offer our After School Programs and Clubs for the 2026-2027 school year. Programming is available for families that need care for their children beyond the normal school day. Transportation will be available for some programs on a first come basis that does include an additional fee. Locations and costs may vary depending upon the program.
Parent's Name

First NameLast Name
Parent's Phone Number

Area CodePhone Number
Parent's Email
Student #1 Name

First NameLast Name
Student #2 Name

First NameLast Name
Student #3 Name

First NameLast Name
Student #4 Name

First NameLast Name
Grade in fall (2026-2027)
Effective date for enrollment in After School Program

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease indicate the month and day that this agreement is to take effect. For example, if you will be using the After School Program from the first session, enter 09/14/2026
Please check the After School Program desired for your child:
Please check the After School Program enrollment option desired for your child:
Indicate the day(s) that you anticipate utilizing the After School Program:
Please indicate your child's default dismissal plan:
My child will remain in the After School Program until being picked up on:
My child needs transportation and I will pay the additional fee:
Please note any known allergies:
Locations:

Our after-school programs outside of our schools are located in South Euclid & Mt. Pleasant.
Please specify each person, including the name of parents, who has permission to pick up your child from the After School Program.
Authorized Person 1:

First NameLast Name
Phone Number 1:

Area CodePhone Number
Authorized Person 2:

First NameLast Name
Phone Number 2:

Area CodePhone Number
Authorized Person 3:

First NameLast Name
Phone Number 3:

Area CodePhone Number
Statement of Policy
- An Enrollment Form is required for all students participating in our programs.
- Drop-in charges and late fees will be due by the end of that day of service. Participants attending programming 1-5 days per week have the option to pay daily, in full and/or on a weekly basis as long as payment plans are discussed in advance during enrollment.
- Payments are due upon receipt. Delinquent accounts may result in dismissal of student from our After School Programs. Please note that transportation is an additional flat rate of $25 that will be attached to your final bill/invoice..
- All After School Programs end promptly at 7:00 p.m on Monday-Thursday. Fridays end at 5:30 pm. After 7:10 (Monday -Thursday) and 5:40 p.m on (Friday), a late charge will be assessed at the rate of $10.00 for each 10 minute interval or fraction thereof.
I have read and understand the Statement of Fees and Statement of Policy contained here.
Please select the method of payment according to the Statement of Fees.
Should be Empty:

After School Program Enrollment Form

Locations:

Statement of Policy