After Care Sign-Up

Please fill out this form to sign your child up for After Care. The rates are Listed below.

After Care (K-8th Grade)

Number of Days

1 Day per Week
2 Days per Week
3 Days per Week
4 Days per Week
5 Days per Week
Drop-in (per time)

3:15 pm - 4:15 pm

$40
$55
$70
$85
$100
Drop-in (per time)

3:15 pm - 5:30 pm

$80
$110
$140
$170
$200
$35

 

Drop-in rate above applies to students with regular monthly schedule.
Emergency Drop-in After Care without monthly schedule is $35

Name *
Name
Phone
Phone
After Care days during the week *
Select the days of the week you wish to enroll your child in After Care
When will you be picking your child up from After Care?
If you have any questions, concerns or exceptions please include them below. Please also include any drop-in dates if applicable.