Before and Afterschool Care Registration

Before & After School Care

serving Jane Addams Elementary in Royal Oak, MI
Fall 2025 Application
All applications are received and reviewed on a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list. Confirmation of enrollment OR waitlist placement will be sent via your selected preferred method of contact (Text Message, E-Mail, or both) by 7/15/2025.
Student Information
How many children are you seeking care for?*
Number of Children
Great News! We offer sibling discounted rates!

Please note: rates indicated on this form, specifically in the scheduling section, are for 1 child only, multiple children rates are available on our website under "tuition".
Child 1*

First NameLast Name
Grade Level in Fall of 2025*
Child 2

First NameLast Name
Grade Level in Fall of 2025
Child 3

First NameLast Name
Grade Level in Fall of 2025
Child 4

First NameLast Name
Grade Level in Fall of 2025
Home Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Information
Full Name*

First NameLast Name
E-mail*
Cell*

Area CodePhone Number
Is the Parent/Guardian Address the same as the child(ren)?*

YesNo
Parent/Guardian Address

Street Address

Street Address Line 2

CityState

Zip Code
Preferred Method of Contact:

Text MessageE-mailBoth
Scheduling/Care Needs

Please select the schedule you are interested in below for the 2025-2026 School Year; Input must be selected for each day, indicating your consistent weekly care needs:
MONDAY*
TUESDAY*
WEDNESDAY*
THURSDAY*
FRIDAY*
Please Describe your approximate ideal drop off and pick up times for care schedule you've selected above:
Open 6:30am-8:30am & 3:30pm- 6pm unless its a half day, late start or school closure
Please select any additional care options you are interested in:

Half Days/Early dismissal ($45/day)Full Day School Closures ($55/Day)Late Start Mornings ONLY ($20/day)
*All applications are received and reviewed on a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list. Confirmation of enrollment OR waitlist placement will be sent via your selected preferred method of contact (Text Message, E-Mail, or both) by 7/15/2025
Should be Empty:

Before & After School Care

Fall 2025 Application

Student Information

Great News! We offer sibling discounted rates!

Parent/Guardian Information

Scheduling/Care Needs