BR CAREs @ HILLSIDE - Punch Card Request
Submit this form to purchase a Before, After or 1/2 Day Punch Card for the BR CAREs Program at Hillside Intermediate School. A fee will be assigned through MyPaymentsPlus. Once payment is received the Program Director will issue the card.
Student's Name (First, Last)
Student ID Number
Registration Fee: I have paid the one time non-refundable fee to participate in the BR CAREs @ Hillside Program
NO - Please go to MyPaymentsPlus.com and register your child for 'Registration - One Child for BR CAREs @ Hillside'.
I would like to purchase
Before Care Only Punch Card @ $80.00 each (5 uses)
After Care Only Punch Card @ $125.00 each (5 uses)
1/2 Day Only @ $30.00 (1 use card)
Payment will be submitted through:
Cash/check to Program Director
Send me a copy of my responses.
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