2016-17 Extended Day Care Registration Form
Extended Day Care service is for students enrolled in 3 and 4 year old morning Preschool. Service is for 11:15 am - 3:10 pm. Billing for Extended Day is added to your FACTS bill and is charged at the beginning of the month. Fees are based on the number of days for which you REGISTER you child. This is not a drop is service and you are billed for the days in which you register. Cost is $25 per child, per day.
Name(s) of the Child/ren you are enrolling?
Please choose all the days of the service needed (please remember that you will be billed for all day in which you register, regardless of use):
Pre-K Program your child/ren are enrolled in
Pre 3 - 2 day (T, Th)
Pre 3 - 3 day (M, W, F)
Pre 3 - 5 day (M-F)
Pre 4 - 4 day (T, W, Th, F)
Pre 4 - 5 day (M-F)
Name of Mother/Guardian 1
Mother/Guardian 1 Phone
Mother/Guardian 1 Email
Name of Father/Guardian 2
Father/Guardian 2 Phone
Father/Guardian 2 Email
Children should bring a lunch and will also have an opportunity to purchase PTO sponsored Fun Lunch several times a month. You have the option to purchase milk throughout the school year for $20/year
Yes - I would like milk service. Please charge my FACTS account.
No - I am not interested in milk service.
By checking this, I understand that there is a $50 registration fee and this will be billed to my FACTS account and is non-refundable.
Yes , I approve this charge. Please charge my FACTS account.
By checking this, I understand that $25/day, which I have indicated above, will be added to my FACTS account in the month before use.
Yes, I approve this charge . Please charge my FACTS account.
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