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 2019 is due by the 12th. 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 12th - May 17th.

Afternoon care will be from 2:30 - 6:00 PM
Name of Child *
Your answer
Home Address *
Your answer
Parent/Guardian 1 *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Work Phone *
Your answer
Parent/Guardian 2
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Name of individual who will be dropping off your child in the morning. *
Your answer
Relationship to the child. *
Your answer
Allergies *
Your answer
Health Concerns *
Your answer
I have read and agreed to the tuition listed above on this form. *
Date *
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YYYY
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