2024/2025 Afterschool Drop-In Registration Form

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If you would like your child to drop in to the Core Afterschool program, please complete this form in its entirety.

Core Afterschool at LREI Drop-In fee: $48/day.

Contact the Afterschool Office at 212-477-5316 with any questions or via email at djohnson@lrei.org.

*Afterschool at LREI Late Pick-up Policy* Afterschool ends promptly at 6:00pm. The following late pick-up fees will be automatically incurred for any students picked up after 6:00pm: after 6:05pm, $5.00; after 6:15pm, $20.00; after 6:30pm, $30.00; after 6:45pm, $40.00; after 7:00pm $50.00.

Student Information

Student Name *

Grade *

Classroom Teacher *

Parent/Guardian Name *

Parent Email *

Allergy/Medical Information *

Authorized Pick-up (Name/s) *

Afterschool at LREI Late Pick-Up Policy

Afterschool ends promptly at 6:00pm. The following late pick-up fees will be automatically incurred for any students picked up after 6:00pm: after 6:05pm, $5.00; after 6:15pm, $20.00; after 6:30pm, $30.00; after 6:45pm, $40.00; after 7:00pm $50.00.

I have read and agree to the terms of the Afterschool at LREI Late Pick-Up Policy *

Yes

Required

Drop-In & Payment Information

Drop-In Date/s for Core Afterschool (mm/dd/yy) *

Payment Method *

Credit card (VISA or MASTERCARD)

Check (payable to LREI, Inc.)

Cash

Required

If paying by Credit Card:

Name on Card

Card Number

Expiration Date

CVV

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