Home   2017 – 2018 After School Program / Summer Program

2017 – 2018 After School Program / Summer Program

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  • 2017 – 2018
    After School Program / Summer Program

  • Mother

  • Father

  • Please list the names and telephone numbers of other persons to whom we may contact in case of emergency and to whom your child may be released. (State law requires that we have this information on file).

  • with no deductions for absence or holidays. If tuition is not paid prior to the close of business on the first day of attendance, a Late Payment fee of $5.00 a day may be added to my child’s tuition

  • I release the school, its directors and staff from any liability for injuries, accidents or illnesses occurring while attending a school program. I authorize the school to provide transportation for my child for all school activities when applicable and give my permission for my child to participate in water activities when under school supervision. I give permission for pictures and videos to be taken of my child and for them to be posted on the school’s website and/or social media.

  • I plan to leave my child at school between the hours of

  • a.m. and

  • p.m.

  • Monday thru Friday

  • or Part Time - M T W T F (circle days of program)