Extended Care 24-25

Extended Care

Children in Kindergarten through 6th-grade must be supervised by an adult outside of the school/carline hours of 8:00 am-3:10 pm. Our desire is to support working parents by offering extended care. If you plan on using extended care, please fill out this form and provide the required signature.
Please fill out this form for EACH child
Parent's Name*

First NameLast Name
Email*
example@example.com
Student's Name*

First NameLast Name
Student's Grade (2023-2024)*
Due to my work schedule, I plan to use Before School Care 7:10-8:00 AM...

RarelyOccasionallyA couple days a weekDaily
Please explain the planned drop off time of your child to Before School Care:
Due to my work schedule, I plan to use After School Care 3:10-5:30 PM...

RarelyOccasionallyA couple days a weekDaily
Please explain the planned pickup time of your child from After School Care:
Please provide any additional comments here:
Extended Care Parent Agreement
The extended care program fees are approximately $8/hour, billed monthly. The parent/ guardian agrees to pay these fees through their FACTS billing account. Failure to make payment may result in disqualification from extended care. Extended care will be closed whenever Crosshill Christian School is closed (holidays, half days, and snow days). Students and parents in the Extended Care Program will also abide by the Crosshill Christian handbook.

Before School Care
- The parent/guardian must enter through the main office and sign in your child each morning.
After School Care
- The parent/guardian must enter through the main office and sign out your child each afternoon/ evening.
- Only authorized adults on your student’s FACTS pick-up list will be able to pick up your child.
- If the child develops a fever or appears to be ill, parents will be asked to come pick up the child immediately.
- In the event of an emergency, the ASC Program has the permission of the parent/ guardian to administer first aid or emergency medical treatment if necessary.
- Late fees will be charged via FACTS for late pick up. Please respect staff’s time and be prompt for pick up. If there is an emergency and you are running late, please call the school and let us know (503) 391-9082.
- If methods of discipline and parent meetings are not enough to correct disruptive behavior, the child may be removed from the program by the director if necessary.
I have read the Extended Care Parent Agreement and agree to these conditions.

Clear
Should be Empty:

Extended Care

Please fill out this form for EACH child

Extended Care Parent Agreement