J Briggs Academy Afterschool Program Registration 2026-2027

J Briggs Academy Afterschool Program Registration 2026-2027

Kindergarten - 8th Grade
Hours of Operations

Daily Operations: 2 PM - 6 PM

Half Day: 11 AM - 6 PM

Early Release Day: 12:30 PM - 6 PM

Rates

Non-Refundable Registration Fee | $25/one time fee

Afterschool Program (transportation not provided) | $100/week

Afterschool Program (transportation provided) | $175/week

Student Information
Student Name

First NameLast Name
Preferred Name/Nickname
Date of Birth
Grade (2026-2027 School Year)
School Attending
Teacher's Name
Student Gender

Parent/Guardian Information
Name

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Emergency Contacts

Other than Primary Parent/Guardian
Name

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Authorized for Pickup

Other than Parent/Guardian & Emergency Contact
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name

Behavioral & Learning Information
Does your child have an IEP or 504 Plan?
Are there any behavior concerns we should be aware of?
If so, what should we be aware of?
Does your child receive any school accommodations?
If yes, what are they?
Is there anything you'd like us to know to help your child succeed?

Transportation
Will your child need transportation from school?
If no, how will your child arrive?

Program Permissions
Please sign below if you agree and understand the following:
- I authorize my child to participate in all afterschool activities.
- I understand that homework assistance is provided but completion is not guaranteed.
- I understand late pickup fees apply.
- I have read and agree to pay the $25 non-refundable registration fee.
Signature
Should be Empty: