after school program

Please use this form to officially apply for the 2019/2020 after school program only.

The after school program is open to kids aged 6+

PARENT INFORMATION
Parent 1 Name (main contact) *
Parent 1 Name (main contact)
Phone (best number) *
Phone (best number)
Address *
Address
Parent 2 Name
Parent 2 Name
Phone (best number)
Phone (best number)
CHILD INFORMATION
Child 1 Name *
Child 1 Name
Birth Date *
Birth Date
Child 2
Child 2
Birth Date
Birth Date
Enrollment Type *
COMMON QUESTIONS & AGREEMENTS
Billing is based on the number of school days split evenly over 10 months. PA Days and camps are not included in the after school program price. *
The program is a 10-month commitment. 30 days' notice is required for early withdrawal from the program and your deposit (held for June 2020) will be lost. *