2025-26 Student Extended Care Contract

Parent Name*

First NameLast Name
Parent Email*
example@example.com
One studentTwo studentsThree studentsFour students
Student #1*

First NameLast Name
Student #1's Grade Level
MondayTuesdayWednesdayThursdayFriday
Student #2

First NameLast Name
Student #2's Grade Level
MondayTuesdayWednesdayThursdayFriday
Student #3

First NameLast Name
Student #3's Grade Level
MondayTuesdayWednesdayThursdayFriday
Student #4

First NameLast Name
Student #4's Grade Level
MondayTuesdayWednesdayThursdayFriday
Pay in fullPay in two paymentsPay monthly
Parent Signature

Clear
Today's Date

MonthDayYear
Date
Should be Empty: