Raider Deck Application
The cost will be $50.00 per week, per child. Payments must be received on the first of each week. There will be a $15.00 late fee added each additional week that payment is not received. The first payment for August 2020 is due by the 17th. Please know that the cost is $50.00 per week even if you choose to only utilize this service for different days throughout the week. Months (November, December, April, August) that include vacation weeks will be prorated. There will be no prorated daily rate. There will be a $1.00 per minute late charge after 6:00 PM. Contracts for the after school program will run from August 17th - May 26th.

Afternoon care will be from 2:30 - 6:00 PM
Sign in to Google to save your progress. Learn more
Name of Child *
Home Address *
Parent/Guardian 1 *
Home Phone *
Cell Phone *
Work Phone *
Parent/Guardian 2
Home Phone
Cell Phone
Work Phone
Name of individual who will be picking up your child from Raider Deck. *
Relationship to the child. *
Allergies *
Health Concerns *
I have read and agreed to the tuition listed above on this form. *
Date *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holly Hill Academy. Report Abuse