Before and After School Care

ADVANCE REGISTRATION RATE for before and after school care is $3.00 per 15 minute increment.

A $10 late fee will be charged every 15 minutes after 5:30pm

Please calculate your BSC/ASC usage and click the PAY NOW button below
to pay on the last day of each month.

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Next Steps: Install a Payment Add-On

To accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.

Registration Form

Submit this form to register for before and after school care.

Student Name(Required)

First Last

Student Grade(Required)

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Parent/Legal Guardian Name(Required)

First Last

Parent/Legal Guardian Phone Number(Required)

Parent/Legal Guardian Email Address(Required)

Enter Email Confirm Email

Before School Care*

*When does your child need before school care? Provide days of the week and/or specific dates. Also tell us what time you will be dropping off your child (7:30am to 8:15am). There is no charge to drop off your child after 8:15am. Breakfast will be served beginning at 8:15am.

After School Care*

*When does your child need after school care? Provide days of the week and/or specific dates. Also tell us what time you will be picking up your child (3:45pm to 5:30pm). A $10 late fee will be charged every 15 minutes after 5:30pm

Before and After School Care

Next Steps: Install a Payment Add-On

Registration Form

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