Before and After School Care

ADVANCE REGISTRATION RATE for before and after school care is $2.00 per 15 minute increment for registrations made 24 hours in advance.

DROP-IN RATE is $3.00 per 15 minute increment for registrations received less than 24 hours in advance.

A $10 late fee will be charged for pick ups after 5:00pm.

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)

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 5:00pm). There is a $10 late fee if your child is picked up after 5:00pm.

Before and After School Care

Next Steps: Install a Payment Add-On

Registration Form

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