Panther Extended Care Registration

Panther Extended Care Registration
Welcome to Panther Extended Care registration. We thank you for choosing us to provide before or after school care for your child.

Liberty Hill ISD Panther Extended Care

2018-2019

	Before School Only	After School Only	A.M. & P.M.
Liberty Hill Panther Extended Care	$100	$230	$270

A nonrefundable and nontransferable registration fee of $50 is required per child when registering.
The first tuition payment is due on August 1, 2018.
Tuition is based on the total number of days care is provided for the school year, then divided into ten equal monthly payments.

Tuition Payment Schedule

Payments are due on or before the 1st of each month from August through May.

*After the 3rd of each month, a $25 late fee will be charged.

Tuition Due Date

August 1, 2018

September 1, 2018

October 1, 2018

November 1, 2018

December 1, 2018

January 1, 2019

February 1, 2019

March 1, 2019

April 1, 2019

May 1, 2019

Payments can be made online at www.libertyhill.txed.net by clicking on the purple circle that says Revtrak. Payments can be made in person at the Liberty Hill Independent School District Administration office located at 301 Forrest Street, Liberty Hill, Texas 78642. Payments can also be mailed to Liberty Hill ISD at 301 Forrest Street, Liberty Hill, Texas 78642, C/O Panther Extended Care Director. All mail must be postmarked by the 1st of the month or a $25 late fee will be charged. We do not accept payments over the phone.

Child's Name *

First Name Middle Name Last Name
Date of Birth *

/ Month / Day Year
Date

Child's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Child's School *
Grade level for 2018-2019 *
Start Date *

/ Month / Day Year
Date
What session will your child be attending? *

AM ONLY* (6 a.m.-start of school) PM ONLY** (end of school - 6:30 p.m.) Both AM and PM
*AM care is open to all LHISD elementary students (Pre-K-5th).

**PM care is open to Bill Burden Elementary Students, Liberty Hill Elementary students and Liberty Hill Intermediate School 5th grade students. YMCA afterschool (PM) care is available for students who attend Rancho Sienna, registration is through the YMCA.
Parent/Guardian Acknowledgements

Please initial in the corresponding box to indicate you have received written policies/materials and agree to the conditions.

1. Handbook Agreement: I acknowledge that I have been made aware of where to access or have received a copy of the Panther Extended Care Handbook, Liberty Hill Independent School District Handbook as well as the Code of Conduct. I accept responsibility to read and adhere to all policies and billing requirements as set forth in that handbook.

Panther Extended Care Handbook

LHISD Student Handbook

LHISD Student Code of Conduct
I have read the above statement. *
Initial
2. Waiver for Medical Treatment: In the event that my child requires emergency medical care and I cannot be contacted, I hereby authorize the Panther Extended Care staff to make arrangements to transport my child to the nearest hospital/emergency medical facility. I give my consent for any and all necessary medical care for my child during this time.
I have read the above statement. *
Initial
3. Registration Fee: I understand that a nonrefundable-nontransferable $50 registration fee is due at the time of registration.
I have read the above statement. *
Initial
4. Withdrawal from the Program: I understand that withdrawal from the program requires a 30 day written notice. I also understand that the district reserves the right to withdrawal a participant for non-payment and/or behavioral issues.
I have read the above statement. *
Initial
5. Late Payment: I understand that tuition is due on the first of each month and failure to pay before the third of the month will result in a $25 late fee. Late payments could result in removal from the program.
I have read the above statement. *
Initial
6. Skyward Information: I understand the Panther Extended Care staff will use my child's district Skyward account information and it is my responsibilty to keep it current.
I have read the above statement. *
Initial
Parent/Guardian Email *
example@example.com
After you submit your registration form, please go HERE to complete the registration process. Click on the Revtrak link on the left, here you will need to pay your $50 registration fee.
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