Before School Program 2025-2026

Before School Program 2025-2026

Student Registration
Robert Smalls Leadership Academy Before School Program will provide a safe and caring environment where students can expand their education through various opportunities that develop creativity, confidence, and good character traits to become well-rounded students.

When: 7:00 am - 8:20 am on days that school is in session for students.

Where: Drop-off is at the cafeteria.

Coordinator: Dr. Erick Alston, Behavior Management Specialist

Email: erick.alston@beaufort.12.sc.us

Phone Number: 843-322-2500

To register your child for our Before School Program, you must complete the following before your child can attend:

·         Before School Program online application

·         Registration Fee $20.00 per family

·         $5 per week per student
Below is the program handbook.
Student Information

Please list the names of each student you are registering for the program.
Student Name*

First NameLast Name
Are you registering more than one child?

yesno
Student Name

First NameLast Name
Student Name

First NameLast Name
Student Name

First NameLast Name
Parent/Guardian Information

Please list the parent/guardian names and contact information.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Cellular Number*
Please enter a valid phone number.
Parent/Guardian Work Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Will you add a second parent/guardian?

yesno
Parent/Guardian Name

First NameLast Name
Parent/Guardian Cellular Number
Please enter a valid phone number.
Parent/Guardian Work Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information

Please list the parent/guardian names and contact information.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Relationship to Student
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Relationship to Student

Medical Release

For each student, please list any allergies/medical problems, including those problems requiring maintenance medication, (i.e. Diabetic, Asthma, Seizure Disorder)
Does your child(ren) have any allergies or medical conditions including those problems requiring maintenance medication?*

yesno
Student #1
Student #2
Student #3
Student #4
As the parent/guardian of the students listed, I do hereby give my child permission to participate in the Robert Smalls Leadership Academy Before School Program activities. I am aware of the nature and extent of the program and do hereby unconditionally release and agree to hold harmless Beaufort County School District, its agents and employees, from any and all claims of any kind or nature which may arise in connection with this program. I also give the staff of Robert Smalls Leadership Academy Before School Program permission to seek medical attention for my child in my absence. I hereby authorize the listed parents, guardians, and/or emergency contacts to be contacted in case of an emergency.
Signature of Parent/Guardian*
Date*

MonthDayYear
Date

Payment Guidelines
• l understand that payment is due on Monday of each week. Please use Online School Payments to pay online. The coordinator will receive a copy of your receipt for program payments.

• I understand that a late fee of $15.00 per child will be applied to my payment if I do not pay by the close of business on Monday of each week.

• l understand that if payment is not received by the close of business on Monday of each week my child will not be allowed to attend the before-school program until payment has been made. (Space may not be available in the program if a student is removed).

• I understand that leaving my child on campus at RSLA prior to designated arrival time without enrolling him/her in Before School Care will place me at risk for child endangerment reporting to a local protection agency.
Signature of Parent/Guardian*
Date*

MonthDayYear
Date
Payment
Please use this link to pay the $20 registration fee and at least one week of the program ($5/week).

My School Bucks online payment portal

Enter your order number below.
Order Number*
After clicking SUBMIT, this application is emailed to Dr. Alston, the program coordinator. Once reviewed and payment is verified, your student will be enrolled. Please contact Dr. Alston with any questions or concerns.

erick.alston@beaufort.k12.sc.us
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Before School Program 2025-2026

Student Information

Parent/Guardian Information

Emergency Contact Information

Medical Release

Payment Guidelines

Payment