CHCS After School Care Program
The CHCS After School Program is designed to assist parents with safe and dependable childcare until they can be picked up. 
  • Grades K4 - 5th Grade
  • 3:45 to 5:30 pm Monday, Tuesday, Thursday and Friday.
  • 2:45 to 5:30 pm Wednesday.
  • In the event of bad weather, After School Care will be closed when the school is closed. After School Care will not be available on days, we are released at 12:15 p.m
  • Please provide an afternoon snack for your child.
  • Your child will not be released from the After School Care Program until he/she has been signed out by the permitted person.
  • Any child with a delinquent account will not be permitted to the After School Care Program until account is paid in full.
 There will be NO Drop-ins 
This is a reserved spot and you will be charged even if your  child/children do not attend.
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Email *
Name of Student
(Please complete a seperate form for each student in After School Care)
 *
After School Care Program payment plan
     *Registration Fee per family $25.00
     *Tuition $10.00 per child, per day
     *Multi-child discount, half price for each additional child 
      (2 or more in the same family)
$200.00 - 5 Days
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$160.00 - 4 Days
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$120.00 - 3 Days
Please select the days below
$80.00 - 2 Days
Please select the days below
$40.00 - 1 Day
Please select the day below
Please select how you want to be billed
  *Payments will be billed for September thru May
 *
Student Demographic Information
Student Grade *
Required
Student Address *
Parent(s) Name  *
Parent(s) Cell Phone Number *
Parent(s) Work Phone Number *
Parent(s) Email Address *
Emergency Contact #1
Name and Cell Phone Number
 *
Emergency Contact #2
Name and Cell Phone Number
 *
Persons Granted Permission to Pick Up Child

 *
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