DHS BEFORE/AFTER SCHOOL CARE AGREEMENT
55 PA CODE CHAPTERS 3270.123 &.181(C); 3280.123 &.181(c); 3290.123 &.181(c)
Fee Amount: $15/day
Fee calculated: per day
Payment due: within 14 days of billing in STS account
Services provided: Supervised before school care provided from 7:00am-7:30am at no charge. Supervised after school from dismissal up until 5:30pm includes outdoor play, indoor games, homework time, and daily snack.
CHILD'S ARRIVAL TIME: 2:45pm
CHILD'S DEPARTURE TIME: up until 5:30pm
$ 1.00 LATE FEE PER MINUTE AFTER 5:30pm
My signature below indicates that I, the parent/guardian:
-have received complete written program information at the time of enrollment. (§ 3270.121, 3280.121, 3290.121)
-agree to update the emergency contact/parental consent form information whenever changes occur or every 6 months at a minimum. (§ 3270.124, 3280.124, 3290.124)