After-School Program Interest Form
Reserve your child’s spot. Our team will contact you within 2–3 business days to confirm details and finalize your semester agreement.
Parent/Guardian Full Name
*
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
How many children are you signing up?
*
Please Select
1
2
3
4+
Child's Full Name
*
Child's School
*
Grade
*
Please Select
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
At what time does your child finish school?
*
Days per week
*
5 days/week - $125/week
3 days/week - $85/week
2 days/week - $65/week
Would you like to add PD Day Care (9am-5pm, $40/day) for any of your children?
*
Yes
No
Select PD Day(s) for care
Friday, October 2, 2026
Monday, October 26, 2026
Friday, November 20, 2026
Monday, November 23, 2026
Friday, November 27, 2026
Not sure yet / will confirm later
Pre-book all your fall PD days by August 31st and save $10 total.
Allergies or medical notes
*
Anything else you'd like us to know?
Thank you! This form reserves your spot but does not finalize enrollment. Our team will follow up to confirm scheduling, apply any sibling discounts, and finalize your semester agreement and payment.
Submit Interest
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