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Before/After School Care Registration Form

2018 - 2019 Before and After School Care Registration

Parent Name _________________________          Phone Number ___________________

Please circle the price of each program that you want to enroll your child in

Child’s Name ________________________           Grade for 2018-2019 ____________

Name of Program

Times Available

School Year Cost

5 Day Plan

School Year Cost

3 Day Plan

Before School Care

7:00 am - 8:00 am

$470

$285

After School Care

3:00 pm - 6:00 pm

$1,430

$860

 

Child’s Name ________________________           Grade for 2018-2019____________

Name of Program

Times Available

School Year Cost

5 Day Plan

School Year Cost

3 Day Plan

Before School Care

7:00 am - 8:00 am

$470

$285

After School Care

3:00 pm - 6:00 pm

$1,430

$860

 

Child’s Name ________________________           Grade for 2018-2019 ____________

Name of Program

Times Available

School Year Cost

5 Day Plan

School Year Cost

3 Day Plan

Before School Care

7:00 am - 8:00 am

$470

$285

After School Care

3:00 pm - 6:00 pm

$1,430

$860

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