Program Start Date: Start of School Year

Program Time: End of School Day – 6pm

Program Cost: Full Days/Early Release Days: $63. Regular After School Days: $42. An equivalent to 1 week of care per child NON-REFUNDABLE Deposit will REQUIRED upon Registering

Due to high demand this year, we have created this interest form as a first step/waitlist for School Year 25-26. Please Fill this out and if there is a spot available we will contact families off of this list in order.

Child's Name *

First

Last

Parent/Guardian Name *

First

Last

Child Attending? What

Email *

Phone *

Childs Date of Birth and Age *

Child's Grade Entering School September 2025 *

What School Will Your Child Be Attending? *

What Days Do You Want Your Child To Attend *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Do you have a Voucher? *

• Yes
• No

Submit