After School Care Program Registration 2026-2027
Register your child for the 2026-2027 After School Care Program and provide consent. Complete all required fields below.
Name of child
*
Age
Parent/Guardian name
*
Parent phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Information (please provide name, relationship, phone number)
Choose an option
*
$1,250 for the entire school year; Additional siblings: $950 -- (May be paid in 10 monthly installments: $125/month and $95/month for 2nd sibling)
$125 for ten school days to purchase in advance and use as needed.
Parent/Guardian Signature
Date
-
Month
-
Day
Year
Date
Submit Registration
Submit Registration
Should be Empty: