19-20 PCS Before & Aftercare Application
Welcome to the 2019-20 school year! We have a lot of exciting programs in store for the PCS Before and After Care Program.

***Families need to have their balances be in good standings from previous years***
If you have questions regarding any outstanding balance, please contact Katie Lydon at klydon@premiercharterschool.org

The BAC program is a lottery process. There are a limited number of spots for the BAC program. Please make sure you submit your child/children’s paperwork as soon as possible online, to the Middle School Front Office or Mr. Lydon. We will have the FIRST lottery drawing April15th, the SECOND lottery drawing May 2nd, and additional lotteries will be determined if necessary. Please be sure to read over the BAC Handbook.

Please see the BAC handbook for information on the following policies…
• Snow Days / Late Start
• Billing / Payments
• Admittance and Release
• Late Pick Up
• Illness / Injury
• Behavior / Discipline
• Personal Items
• Technology
• Drop Ins

BAC Program Times
• Before School Program (Includes breakfast): 6:15 a.m. – 8:10 a.m.
• After School Program (Includes afterschool snack): 3:25 p.m. – 6:00 p.m. Mon-Thur and 3:25 p.m. – 5:30 p.m. FRIDAYS
• Early Dismissal (1/2) Days: Dismissal – 4:00 p.m. (includes afterschool snack) Only available on selected scheduled early dismissal days
• There will be NO aftercare on the first day of school, the day before winter break, the day before spring break, and the last day of school. Please make arrangements ahead of time so your child is picked up by the scheduled dismissal time.

We look forward to partnering with you this year to ensure your child’s continuous success at PCS! Thank You!

Josh Lydon
Before and After Care Program Director
P: 314-645-9600 ext: 427
Aftercare Cell: 314-398-7603
F: 314-645-9700 Attn: Josh Lydon or BAC

2019-2020 BAC Billing Chart
In order to receive discounted prices seen in the Billing Chart below, a NEW Free/Reduced Meal application MUST be on file with the office at the beginning of each school year.
Student Information
How many students are you enrolling in the BAC program? *
Student 1 Name *
Your answer
Student 1: 2019-2020 Grade *
Student 1 (Please list any allergies or conditions that we may need to know about)
Your answer
Student 2 Name
Your answer
Student 2: 2019-2020 Grade
Student 2 (Please list any allergies or conditions that we may need to know about)
Your answer
Student 3 Name
Your answer
Student 3: 2019-2020 Grade
Student 3 (Please list any allergies or conditions that we may need to know about)
Your answer
Student 4 Name
Your answer
Student 4: 2019-2020 Grade
Student 4 (Please list any allergies or conditions that we may need to know about)
Your answer
Additional Student's Names
Your answer
Additional Student's: 2019-2020 Grades
BAC Program Options
Please select which BAC program(s) your family will need (you may select more than one) *
Parent/Guardian Information
Parent/Guardian 1: Name *
Your answer
Parent/Guardian 1: Email
Your answer
Parent/Guardian 1: Cell Phone Number *
Your answer
Parent/Guardian 1: Work Phone Number
Your answer
Parent/Guardian 2: Name
Your answer
Parent/Guardian 2: Email
Your answer
Parent/Guardian 2: Cell Phone Number
Your answer
Parent/Guardian 2: Work Phone Number
Your answer
BAC Program Acknowledgments
Please check the boxes agreeing to the following statements *
Please initial (electronically) agreeing that you have read the BAC Handbook, which can be found at... https://drive.google.com/a/premiercharterschool.org/file/d/1GR32QGDeeH92WjJFqiYjlTCrCl4FtdNb/view?usp=sharing *
Your answer
Please select your payment option *
Important Information about the BAC program
Daily drop in fees: BEFORE CARE: $5.00, AFTER CARE: $15.00, HALF DAYS: $25.00
Each child is ONLY allowed 5 drop-ins per program per school year

Please return the 1st month’s payment along with any DSS forms and/ or the Free and Reduced Meal Application BY AUGUST 1st 2019.

Important Billing Information:
• Families with multiple children enrolled will receive a 40% discount for each additional child
• If you have an outstanding balance from previous school years for Before/After Care services, your account must be in good standings. Contact Katie Lydon at klydon@premiercharterschool.org or (314)-645-9600 ext. 306 for details.
• Financial Assistance: This may ONLY be obtained through the Free & Reduced State program or Division of Social Services subsidy. To apply, an application for Free & Reduced meals needs to be completed. This form may be obtained from the office or on the school website.
• If DSS is providing a subsidy, then the DSS caseworker must provide the appropriate form. PCS DVN number is 002238528. You will be billed for the program you select until PCS has received the approval letter from DSS.
• Students not enrolled in Before Care and/or Aftercare are only allowed 5 drop-ins for Before Care and 5 drop-ins for Aftercare per school year.
• ALL PAYMENTS ARE DUE by the END of each month. Outstanding balances may result in program suspension.

Please electronically sign (type your name) agreeing that you will make the necessary payments for the BAC program you choose *
Your answer
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