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2018-19 Aftercare Registration Form
Thank you for your interest in ISPR's Aftercare Program. Our program is limited to 40 students. The fee for every student is $60/week regardless of the number of days you attend. This policy ensures that we can provide appropriate staffing and continuity of care for your child.

Children will be accepted on a first come/first served basis. Please complete one registration form per child. Your registration is complete once your $25/child, non-refundable registration fee is received. Payments can be made at the front office. Returning Aftercare students must have accounts in good standing to register.

Questions should be directed to our Aftercare Director, Mary Mies, at mary.mies@imagineschools.org.

Please list your child's name, grade and DOB. Example: John Smith/4th/April 22 *
Your answer
List any allergies and physical restriction *
Your answer
Mother's Name *
Your answer
Mother's Home Address *
Your answer
Mother's Email *
Your answer
Mother's Cell Number *
Your answer
Mother's Work Number *
Your answer
Father's Name *
Your answer
Father's Home Address *
Your answer
Father's Email *
Your answer
Father's Cell Number *
Your answer
Father's Work Number *
Your answer
1st Emergency Contact and Phone Number *
Your answer
2nd Emergency Contact and Phone Number *
Your answer
How will you be making payments each Friday this Fall? *
By enrolling my child in ISPR's Aftercare Program, I understand the following: (1) $25 registration fee is non-refundable; (2) Attending is a privilege that can be revoked; (3) $60/week tuition is due every Friday regardless of the number of days my child attended; (4) I can request an account statement at anytime, but weekly invoices will not be provided; (5) Aftercare ends at 6pm, picking my child up late multiple times may result in dismissal from Aftercare; (6) Aftercare is an extension of the school day. As such, my child must adhere to the school rules and regulations set forth in the Family Handbook. *
Tuition Policy. Any week that school is in session 3 or more days you will be charged $60/week. There will be no charge for any week that school is in session 2 days or less. Any child who's account is in good standing as of May 17, 2019 will receive the last week of Aftercare for FREE as a thank you :) *
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