LASP Drop-In Registration

LASP Drop-In Information

The Drop-In program is available for anyone at LES to enroll their student(s) in the Leverett Afterschool Program (LASP) on days that they are not usually signed up for. We take students on a first come first serve basis. Drop-ins must be requested at least 2 days in advance. Filling out this form does NOT confirm your spot in the program! I will email you in 1-2 business days to inform you if there's space in the program.
Any questions or concerns can be addressed to:

Max Solomon-Frye

Afterschool Program Director

Leverett Elementary School

solomonfrye@leverettschool.org
Are you currently enrolled in the LASP?
- Parent/Guardian
  
  First NameLast Name
- Student Name
  
  First NameLast Name
- Additional Student Name
  
  First NameLast Name
- Requested Drop-In Date
  
  MonthDayYear
  Date
- Are you regularly enrolled in Half-Wednesdays?
- (Wednesday only) Half or Full Day?
- Currently Enrolled Wednesday check: students attending
- Any notes/comments?
- How many students are you looking to enroll?
- Requested Drop-In Date
  
  MonthDayYear
  Date
- Parent/Guardian
  
  First NameLast Name
- Parent/Guardian Email
  example@example.com
- Parent/Guardian Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Student 1 Name
  
  First NameLast Name
- Student 1 Birthday
  
  MonthDayYear
  Note: Students must be at least 5 years old to attend.
- Student 1 Class
- Please list any allergies, behavior/support needs, or anything you'd like us to know about Student 1.
- Student 2 Name
  
  First NameLast Name
- Student 2 Birthday
  
  MonthDayYear
  Note: Students must be at least 5 years old to attend.
- Student 2 Class
- Please list any allergies, behavior/support needs, or anything you'd like us to know about Student 2.
- Please list all grownups that are approved to pick up your student(s).
- Cost for LASP students:
  
  $21 per day ($35 for siblings)
  
  $30 for Full Wednesdays ($45 for siblings)
  
  For students regularly enrolled in Half Wednesdays:
  
  $14 for Full Wednesdays ($25 for siblings)
  
  Cost for non-LASP students:
  
  $31 per day ($45 for siblings)
  
  $40 for Full Wednesdays ($55 for siblings)
- Your total:
- This amount will be added to your next monthly invoice. No immediate payment is required at this time.
- NO REFUNDS ARE MADE FOR DAYS A CHILD DOES NOT ATTEND FOR ANY REASON.
  
  Payment can be made by check or online. Payment must be received before your drop-in date!
  
  Online payments can be made on the town website at https://www.leverett.ma.us/
  
  Click on the Pay Online button and then select After School Programs.
  
  To pay by check, please mail or drop off payment to Leverett Elementary School, 85 Montague Road, Leverett, MA 01054.
  
  Checks should be made out to the Town of Leverett.
- Please review the LASP Program Contract.
- Type your initials here
- Today's Date
  
  MonthDayYear
  Date
- Should be Empty:

LASP Drop-In Information