Registration for Trinity Extended Day (TED) 2025-'26
Welcome to Trinity Extended Day (TED)!  Please complete this form if you are interested in registering for TED as a drop-in or monthly regular attendee in 2025-'26.  Our goal is to serve any/all students.  Please be advised that students will follow the same rules, guidelines, etc., as during the school day.  If/when necessary, any changes about TED will be communicated with you directly and/or via the Good News over the summer/in August. Please email the TED Director should questions arise. (*NOTE: The information requested on this form is separate from any information submitted to TES and is for TED purposes only).
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Email *
Student's First Name *
Student's Last Name *
Birth Date *
MM
/
DD
/
YYYY
Age *
Grade Level for 2025-'26. (Please answer with a single number/letter i.e. 7, K, etc.) *
Registration Type  *NOTE: If this option changes at any time, please edit your response using the link in the confirmation email). *
Required
Family Information
Guardian's Name *
Address *
City/State/Zip *
Primary Phone *
Cell Phone
Preferred Email *
Employer
Guardian's Name
Address
If different from above
City/State/Zip
If different from above
Home Phone
If different from above
Cell Phone
Preferred Email
Employer
Emergency Contact Information
Emergency Contact Name *
Relationship to student *
Home Phone
Cell Phone *
Pick-Up Authorization
Pick-up Name *
Phone *
Pick-up Name
Phone
Pick-Up Name
Phone
Medical History
Are there any physical (including allergies) and/or health conditions, medications, or any other medical information of which the TED staff should be made aware? *
Required
Please list allergies/medications/medical information below.
Please give any information concerning your child which will be helpful in his or her experience in a group setting (specific fears, special likes and dislikes, etc.)
Emergency Care Information
I agree that the School may authorize the physician of choice to provide emergency care in the event that neither I, another contact listed, nor the family physician can be contacted immediately.
Name of Child's Doctor *
Phone *
Office Address *
City/State/Zip *
Billing
All TED billing will be done through the Business Office. To simplify billing for monthly regulars, costs have been averaged. Charges will be based on an average of 18.5 days/month for 10 months. Remittance is expected within 14 days of receipt of invoice. After 14 days, the Business Office will impose a 1.5 percent late fee.
Late Pickup Policy

We appreciate the opportunity to provide extended care in TED and strive to make the experience as fun and productive as possible. TED remains open until 6:00 pm on most days, with closing times adjusted for early dismissal days, parent-teacher conferences, etc. We recognize that there are occasional circumstances that prevent you from arriving before we close. In light of this, please contact us (ext. 246) as early as possible (or a minimum of 15 minutes before closing) in the event you are running late. Please note that if your child(ren) is (are) picked up after closing time without proper notification from the parent or guardian on 3 occasions, your child(ren) will be unable to continue in TED. The staff is completely dedicated to TED so please be as considerate as possible of their time, other obligations, family responsibilities, etc. As always, please contact the Director if you have any questions or concerns.


Acknowledgement
By submitting this document, I acknowledge that I will/have read, understand, and agree to abide by all aspects of the TED program including any information presented here as well as parental and student expectations as outlined in the Family Handbook.
A copy of your responses will be emailed to the address you provided.
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