2025-2026 After School Program Enrollment Form Logo
  • The Sal After School Program Enrollment 2025-2026

    1707 W. Chestnut Expressway Springfield, MO 65802 (417)862-5509 x 113
  • Dates: August 19, 2025-May 20, 2026

    Hours: Monday- Friday 2:30pm-6:30pm
  • The Sal will be open Monday-Friday from 2:30pm-6:30pm.  Fees: $50 per child per week for all schools attending after school ONLY (will receive dinner each night at 4:30pm)

    $20 per child per full day rate for single days out of school (Snow Days, holidays, teacher work days) -these days will include breakfast, lunch, & afternoon snack.

    ***By registering you are signing up your child to attend The Sal After School Program for the entire school year. If you wish to remove your child from The Sal prior to the end of school, a written two week notice must be given and fees must be paid in full.*** 

  • Dates The Sal will be CLOSED:

    Monday, September 1, 2025: Labor Day

    Friday, November 21, 2025: Staff Development & Training Day

    Thursday & Friday, November 27 & 28, 2025: Thanksgiving

    Tuesday, December 16, 2025: Christmas Distribution ***Date could change***

    Wednesday & Thursday, December 24 & 25, 2025: Christmas

    Wednesday & Thursday, December 31, 2025 & January 1, 2026: New Year's

    Monday, January 19, 2026: MLK Day

    Monday, February 16, 2026: President's Day

    Friday, April 3, 2026: Good Friday

    Thursday & Friday, May 21 & 22, 2026: Day Camp prep days (will be last two full days of school depending on snow days)

  • Child's Details

    Please complete one form for each child
  • Parent Info

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  • Enrollment Details

    Weekly fees are due at the end of each month. Failure to make the weekly payment by the end of the month will cause removal from enrollment. Payments can be made at The Salvation Army main office at 1707 W. Chestnut Expressway or using our online portal. We accept cash, check, credit card, or money order.
  • Emergency Contacts & Authorized Pick Ups

    We only allow authorized family members & friends to pick up registered children. Parents MUST provide contact information for TWO non-parent emergency contacts in the case that parent/guardian cannot be reached in an emergency. Please list first & last name of anyone authorized to pick your child up who has not already been listed.
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  • Health Information

  • Child's Health Details

  • The Salvation Army welcomes participation by children of all abilities. Every effort is made to provide reasonable accommodation, however, there may be instances where a child’s needs exceed the parameters of the scope of our program. The Salvation Army does not provide auxiliary, therapeutic, or medical services. (i.e., interpreter, one on one support, etc.) If the parents/guardians of a child with special needs who needs auxiliary support, secures auxiliary services, a further discussion of their participation can be scheduled.

    Children, including those with behavioral and/or special needs, are expected to adhere to the following behavioral standards:

    • Participants are prohibited from engaging in self-injurious behavior, behavior that intends to injure peers or staff, vandalism, destruction of property, elopement, and continuous refusal to follow staff directions.

    • Participants must be able to feed & toilet themselves without any assistance from staff & regulate emotional responses without endangering others or themselves with minimal support from staff.

  • Health Permission Form

    A The Sal may also administer suncsreen or bug spray (when provided by parents), hand sanitizer, unscented lotion, and Vaseline for chapped lips. I have read & checked all that apply to my child and signed below all applicable information regarding to the care of my child:
  • About Your Child

    The most important element in our partnership with you is honest and complete personal information about your child. In order to meet each child's needs, we need as much relevant information as possible. Such information can be invaluable in helping your child make a smooth and happy transition from school to after school. Having prior knowledge about a child’s background, an emotional upset, or a recent problem can be the crucial factor in helping us be sensitive to your child's needs. Since children often use their behavior rather than words to tell us what's bothering them, our having advance knowledge of sensitive issues helps us understand the message in a child’s actions. This information will only be used by ourselves and your child’s team of staff and only with the utmost discretion. And should you wish that we share this information on a “need to know” basis only, we will respect your request. Lastly, we’ll certainly let you know if your child is having difficulty related to this information.
  • Parent Consent

  • Declarations

  • Clear
  • Should be Empty: