Aftercare Enrollment Form

Aftercare Enrollment Form

For students in PreK–5th Grade
Enrollment & Payment Information

Cost
- Billed at $13/hour, with a 1-hour minimum per day
- After the first hour, time is billed in 15-minute increments
- Charges will not exceed $450 per month
- Includes regular school days and early release days (excluding the last day of school)
- Payments for previous months are processed through your FACTS account at the beginning of each month.
- Tuition is divided into 10 equal payments from August through May
- Short months are not prorated
Timely Pickup Expectations:
- A late fee of $1.00 per minute is charged after 6:00 p.m.
- After three late pickups, Aftercare privileges may be revoked
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Relationship to Student*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Student Information*

Aftercare Guidelines – Summit Christian Academy
Pre-Registration is required for

All students attending Aftercare—whether on a monthly basis or as a one-time drop-in—must submit this enrollment form in advance.

Age Requirements
Aftercare is available for currently enrolled students in Pre-K through 5th grade.

Snacks
Please send a snack and a water bottle with your child each day. Snacks will not be provided.

Activities
Students will enjoy outdoor play (weather permitting), as well as access to games, puzzles, blocks, toys, and art supplies. Homework time will be provided as needed.

Pick-Up Policy
Children must be signed out by a parent/guardian or someone listed on the student’s Transportation Form in FACTS. Photo ID is required for pick-up.

Illness Policy
Aftercare follows the school’s illness guidelines. No medication will be dispensed in Aftercare or Kids Club.

Medical Emergencies
In the event of a life-threatening emergency, 911 will be called first, followed by the parent. If the parent is unreachable, the emergency contact will be notified.

Half Days
On early release days, students must bring a lunch and drink, as the cafeteria will be closed.

Questions?
Contact Aftercare Teacher Tina Dawson at (512) 296-8462 or the SCA Front Office at (512) 250-1369.
I have read and understand the Aftercare hours and guidelines.*

Yes, I understand.
I understand that three late pickups may result in dismissal from the program.*

Yes, I understand.
I understand that late pickups incur a $1/minute fee after 6:00 p.m.*

Yes, I understand.
Nurse Notes
Should be Empty:

Aftercare Enrollment Form

Enrollment & Payment Information

Parent/Guardian Information

Aftercare Guidelines – Summit Christian Academy