Before/After Care Registration 2019-2020
Please use the form to register your child for before and/or aftercare. There is no need to send money, you will be billed by Michelle Latko on Smart Tuition over the summer.

By filling out this form you agree to pay the aftercare amount for the student(s) below. Failure to post a payment/outstanding balance by the due date will result in a late fee of $35.00. A $25 fee will be applied for any failed electronic transaction/returned check.

Email address *
Child 1 Name *
Your answer
Grade Level for 2019-2020 School Year *
Child 2 Name
Your answer
Grade Level for 2019-2020 School Year
Please list any allergies *
Your answer
Parent Name *
Your answer
Parent Phone Number *
Your answer
Enrollment Preferences *
Required
*
Captionless Image
Required
Please list names and grades of additional children (if applicable)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of OLC School. Report Abuse - Terms of Service