GHV Before & After School Program - Commitment Form
This coming school year, GHV will be continuing our Before & After School Program. If you're interested in this program, please use the below form to share that with us.
Before School Program
• Hours of Operation: 6am-8am • TK-4th Grade • Cost: $100/mo, $150 for two children, $200 max cost, Drop-ins $10 per child • Breakfast Available at Additional Cost of School Breakfast
Which School Year are you interested in for Before School Care?
2020-21
How many children would you send to the Before School Program?
How often would your child(ren) attend?
Daily
1-3 times per week
A few times per month
Drop-In Only
Other
After School Program
• Hours of Operation: 3:30 p.m.-5:30 p.m. • TK-4th Grade • Cost: $125/mo, $175 for two children, $225 max cost, Drop-ins $10 per child • Snacks to be Available
Which School Year are you interested in for After School Care?
2020-21
How many children would you send to the After School Program?
How often would your child(ren) attend?
Daily
1-3 times per week
A few times per month
Drop-In Only
Other
Contact Information
This information will be used by the GHV Elementary office only; additional information will be sent to you
Parent/Guardian Name
First Name
Last Name
Please List the Names of All Children to Attend Either Program
ex: John Doe, Jane Doe, and Jack Doe
Parent/Guardian Contact E-Mail
I verify that the information I shared is accurate. I am interested in utilizing the Before/After School Program in some capacity.
Parent/Guardian Signature
Please use your computer's mouse to sign, or sign using your finger on a Smart Phone
Submit
Should be Empty: