SYA Bridge Program Registration
Our pilot program will begin on Monday, September 16th and run during after school hours for the duration of the school year! This is a chance for your child(ren) to engage in healthy activities and receive homework support after school! This is our pilot program and a maximum of 50 students will be permitted to participate at this time. FIRST COME FIRST SERVE!
Location: Southampton Elementary School
COST and PAYMENT OPTIONS:
PAY BY MONTH: $120 PER MONTH
PAY SEPT - DEC: $400 Total
Contact us at (631) 283-6873 or
for general inquiries
Must submit one form per child.
If you need to PAY only, do not resubmit the form, please go to this link:
SYA, Inc. is a non profit and fees are collected to support with programming fees.
Child's First Name
Child's Last Name
Child's Date of Birth
What time will your child transition to the after school program?
Immediately after school
at 4:30, after clubs
not sure yet
What is your child's t-shirt size? (kid sizes listed below)
Please list/describe any special needs, medical conditions or restrictions that you would like to notify us about.
Please list any allergies that your child has. If none, just write 'no allergies."
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This form was created inside of SYA.