SY 26-27 After School Plus (A+) Program Registration Form

  • 2026-2027 School Year After School Plus (A+) Registration

  • Welcome to DREAM Co.’s A+ After School Program registration for the 2026–2027 school year! We’re looking forward to partnering with your family for a fun, safe, and enriching school year. We understand that registration time can feel overwhelming, so we encourage you to take your time and carefully review each section as you complete the application. If you are looking for registration information for the 2025–2026 school year, please visit our homepage at dreamcohawaii.org.

    Before beginning the registration process, we strongly encourage all families to review the A+ Parent Handbook. The handbook includes important program information such as current program fees, registration forms, required upload documents, policies, and other helpful details about the A+ program. You can view the handbook here.

    To help us process applications as smoothly and fairly as possible, please make sure that all information submitted is complete and accurate before turning in your registration packet. Applications are reviewed and processed in the order they are received. Incomplete applications may delay processing and could result in your child being placed on a waitlist. Please note that submitting a registration form does not guarantee placement in the program. Enrollment is confirmed only after the A+ Site Coordinator has reviewed the completed registration packet and officially issued a notice of acceptance.

    Mahalo for your interest in our A+ program and for taking the time to complete the registration process carefully. We appreciate the opportunity to support your child’s after-school experience, and we look forward to a wonderful school year together!

  • After School Plus (A+) Program Registration Form

    For School Year 2026-2027
  • Check Days Attending:*
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  • Parent / Guardian 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent/Guardian is authorized to pick-up:*

  • Parent / Guardian 2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent/Guardian is authorized to pick-up:

  • Authorized Pickup List

  • Please list the adult individuals, 18 years or older, who are authorized to pick up your child(ren) from the facility, along with their phone numbers. The child(ren) will not be released to anyone not listed in the table below. Note: Any changes in departure authorization must be received in writing from the parent/legal guardian.
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  • After School Plus (A+) Program Registration Form

    School Year 2026-2027
  • The After-School Plus (A+) Program is the first of its kind in the nation, offering statewide after-school services to public elementary students at affordable rates. The program addresses the 'latchkey' child problem by providing high-quality after-school care for children of working parents or legal guardians, or for children whose parent or legal guardian is engaged in job training or attending school during A+ operation hours. If your child qualifies and you wish to enroll them, please complete this registration form and return it to your child's school.

  • Fee: Due Monthly

    The monthly fee covers regular program activities. The fee will be adjusted for those who qualify if acceptable supporting documentation about their income or DHS 728 Form is submitted. Refer to the Parent Handbook for additional details.

  • Hours: After school - 5:30 p.m.

    The program hours are from after school to 5:30 p.m. on regular school days. The program will not operate during school vacations, state holidays, weekends, Teacher Institute Day, Teachers' work day and school half days.

  • Supervision: Student to Staff Ratio of 20:1

    At each school, the staff will consist of a Site Coordinator and a group leader team supported by aides to maintain a student to staff ratio of 20:1. Staff recruitment may limit the number of students that a school can serve.

  • Activities: A variety of scheduled activities

    Children usually begin the afternoon with free play time and a snack period (children bring their own snacks from home). This period is followed by other activities including homework time, enrichment and physical fitness. Site Coordinators will have the flexibility to adapt scheduled activities to meet the conditions of your child's school.

  • Eligibility: K-6 public elementary school latchkey children

    Your child is considered latchkey if he/she is living with you and during the hours of A+ operations you are employed, attending school, engaged in a job training program, or working as an employee of the A+ program. A parent/legal guardian who is "self-employed must verify their status by: a) Submitting a copy of their general excise tax license, and b) submitting a copy of one of the following: 1) income tax return for the past year including Schedule C, or 2) printed business check marked "Void"

  • Starting Date: Child's first full day of school

    The starting date for your child is usually the first full day of school. However, the starting date of the A+ Program at your child's elementary school may depend on the after-school enrollment of at least 20 children and the ability to recruit necessary staff.

  • Parent/Guardian 1

  • Marital Status:*
  • Check As Appropriate*
  • Rows

  • Parent/Guardian 2

  • Marital Status:
  • Check As Appropriate
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  • I certify that I am eligible for the A+ Program because I am working, job training, and/or attending school during the hours of A+ operations. I further certify that the information I have provided on this application form is correct and I hereby authorize the HIDOE and its contracted private providers to contact the appropriate parties to verify this information. I understand that changes on this registration form must be given to the A+ Site Coordinator in writing by the parent/legal guardian. Registration in the A+ Program is pending completion of this application and approval of the Site Coordinator.
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  • REV: 26/04
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  • After School Plus (A+) Program Registration Form

    School Year 2026-2027

  • Please check each of the following to indicate that you have read, understand, and agree with each item.

  • Parent/Guardian's Responsibilities and Agreements*
  • Parent/Guardian's Billing and Fee Agreements*
  • I understand and agree to abide by the above parent responsibilities and billing procedures provided in the A+ Parent Handbook. I understand and agree that my failure to do so may result in termination of my child(ren)'s enrollment in the A+ Program.
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  • Child 1 - After School Plus (A+) Program Emergency Form

    Please complete this form for each child registering for the After School Plus (A+) Program

  • Parent / Guardian 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Parent / Guardian 2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Other Children in Household

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  • Medical Conditions*
  • Rows
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Insurance:*
  • If my child needs to be taken to an emergency facility, he/she will be taken to the nearest one. I give my consent for school authorities to take appropriate action for the safety and welfare of my child. I confirm that the information provided on this form is accurate and up to date. I understand that it is my responsibility to notify the school of any changes to my child's emergency contact or medical information.
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  • *The Identity Pin is requested and used as a second layer of security to help verify your identity and protect your information.
  • REV: 26/04
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