Little Hokie Hangout Application Form: Spring 2019
This form requires a non-refundable $25.00 application fee that will be directly applied to your Virginia Tech account upon receipt. This form and fee constitute an application for the program and/or its wait list.

Fees are outlined below:
WORKER OPTION:
1 session/week $185.00
2 sessions/week $370.00
3 sessions/week $555.00
4 sessions/week $740.00
5 sessions/week $925.00
6 sessions/week $1,090.00
7 sessions/week $1,255.00
8 sessions/week $1,420.00
9 sessions/week $1,585.00
10 sessions/week $1,750.00
11 sessions/week $1,940.00
12 sessions/week $2,115.00
13 sessions/week $2,290.00
14 sessions/week $2,460.00

BUY OUT OPTION:
1 session/week $230.00
2 sessions/week $460.00
3 sessions/week $690.00
4 sessions/week $920.00
5 sessions/week $1,150.00
6 sessions/week $1,360.00
7 sessions/week $1,570.00
8 sessions/week $1,780.00
9 sessions/week $1,990.00
10 sessions/week $2,200.00
11 sessions/week $2,435.00
12 sessions/week $2,655.00
13 sessions/week $2,875.00
14 sessions/week $3,090.00

Email address *
Child's full given name *
Your answer
Nicknames used?
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address where child lives *
Your answer
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