Before & After School Care Pre-Registration

Select Program
Before & After Care (without Breakfast): $110/week Before & After Care (with Breakfast): $118/week Before Care Only (without Breakfast): $70/week Before Care Only (with Breakfast): $78/week After Care Only (includes snack) : $100/week

Student Name:

Date of Birth:

Gender
Male Female

Teacher:

Grade:

Student Start Date (Must start within one week of registration):

I have read the Program Guidelines and Handbook and agree to all terms and conditions within.