2025-26 After School Registration

1
Student 1 Name* This field is required.
First Name
Last Name
2
Student 1 School Name* This field is required.
Please Select
Please Select
Granite Quarry Elementary
Koontz Elementary
Overton Elementary
Hurley Elementary
Erwin Middle School
Isenberg Elementary
North Rowan Elementary
Rockwell Elementary
West Rowan Elementary
Mt. Ulla Elementary
Millbridge Elementary
West Rowan Middle School
North Rowan Middle School
Shive Elementary
Sacred Heart Catholic School
North Hills Christian School
Salisbury Academy
Faith Academy Charter School
Nehemiah Enrichment Academy
Legacy School
3
Grade Level of Student 1* This field is required.
Please Select
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
4
Are you needing to sign up a 2nd Student?* This field is required.
YESNO
5
Name of Student 2
First Name
Last Name
6
Student 2 School Name
Please Select
Please Select
Granite Quarry Elementary
Koontz Elementary
Overton Elementary
Erwin Middle School
Hurley Elementary
Isenberg Elementary
North Rowan Elementary
Rockwell Elementary
West Rowan Elementary
Mt. Ulla Elementary
Millbridge Elementary
West Rowan Middle School
North Rowan Middle School
Shive Elementary
Sacred Heart Catholic School
North Hills Christian School
Salisbury Academy
Faith Academy Charter School
Legacy School
7
Grade Level of Student 2
Please Select
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
8
Are you needing to sign up a 3rd Student?
YESNO
9
Name of Student 3
First Name
Last Name
10
Student 3 School Name
Please Select
Please Select
Granite Quarry Elementary
Koontz Elementary
Overton Elementary
Hurley Elementary
Isenberg Elementary
North Rowan Elementary
Rockwell Elementary
West Rowan Elementary
Mt. Ulla Elementary
Millbridge Elementary
West Rowan Middle School
North Rowan Middle School
Shive Elementary
Sacred Heart Catholic School
North Hills Christian School
Salisbury Academy
Faith Academy Charter School
Legacy School
11
Grade Level of Student 3
Please Select
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
12
Parent/Guardian Name* This field is required.
First Name
Last Name
13
Parent/Guardian Email* This field is required.
example@example.com
14
Parent/Guardian Phone Number* This field is required.
Please enter a valid phone number.
15
Emergency Contact Name* This field is required.
First Name
Last Name
16
Emergency Contact Phone Number* This field is required.
Please enter a valid phone number.
17
Please list individuals (first and last names) who would be eligible for pick up* This field is required.You may update this at any time throughout the school year.
Huge
Large
Normal
Small
Ok
Ok
18
Select the option you are interested in.* This field is required.This is the method in which your invoice will be set up and paid. Any students coming 3 or 4 days will be invoiced We do not offer single day rates any longer. All rates are per child. Sibling discounts available!
3 Days Per Week ($15/day, billed weekly) No sibling discount
4 Days Per Week ($15/day, billed weekly) No sibling discount
Weekly ($60/week child 1, $55/week for each additional)
Monthly ($220/month, child 1, $210/month for each additional)
19
Terms and Conditions* This field is required.
20
Registration Fee* This field is required.Please be sure to select your child(ren)’s school as your item. When a route is filled the item will no longer be able to be purchased. If your route is full please contact BrickEd to get on our waitlist at 704-603-4597. **Reminder registration fee is $50.00 per child.
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ORDER SUMMARY
Total costUSD
West Rowan Elem, West Rowan Middle, Hurley Elem Registration Fee
$50.00Edit
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Granite Quarry Elem, Rockwell Elem, Erwin Middle Registration Fee
$50.00Edit
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Isenberg Elem Registration Fee
$50.00Edit
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Faith Academy Registration Fee
$50.00Edit
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Sacred Heart Catholic School, Salisbury Academy, North Hills Christian School Registration Fee
$50.00Edit
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North Elementary, Hanford Dole Elementary, Overton Elementary, Registration Fee
$50.00Edit
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Mt. Ulla Elem, Millbridge Elem Registration Fee
$50.00Edit
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Enter Coupon
Total cost $0.00
Credit Card
First Name
Last Name
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