2021-22 Frassati Catholic Academy Extended Day Program Registration
If you plan to use Frassati Catholic Academy's Extended Day Program (EDP) for before and/or after school care, please complete all sections of the form below. You may complete one form per family. Thank you.
Email *
Student Information
Student 1 Last Name *
Student 1 First Name *
Student 1 Grade *
Student 2 Last Name
Student 2 First Name
Student 2 Grade
Clear selection
Student 3 Last Name
Student 3 First Name
Student 3 Grade
Clear selection
Student 4 Last Name
Student 4 First Name
Student 4 Grade
Clear selection
Emergency Contact Information
Please list parent/guardian information and other emergency contacts. Emergency contacts may drop off or pick up your student from EDP without additional approval needed. Please contact the school office if you need to add approval for additional individuals to drop off or pick up your student from EDP.
Parent/Guardian 1 - Name (First and Last) *
Parent/Guardian 1 - Contact Phone *
Parent/Guardian 2 - Name (First and Last)
Parent/Guardian 2 - Contact Phone
Emergency Contact 1 - Name (First and Last) *
Emergency Contact 1 - Relationship to Child *
Emergency Contact 1 - Contact Phone *
Emergency Contact 2 - Name (First and Last)
Emergency Contact 2 - Relationship to Child
Emergency Contact 2 - Contact Phone
Extended Day Program Rules and Guidelines
EDP will be billed bi-weekly via and emailed credit card invoice. Please enter your billing email below. *
EDP will be billed at $5 per hour/per student by the quarter hour and will be billed bi-weekly for all EDP used. *
Required
There is a $10 per family non-refundable EDP Registration fee that will be added to my first EDP invoice. *
Required
It is the responsibility of the parents/guardians of the student(s) to stay current on EDP bills. If they are not paid timely, the student(s) will be excluded from the program. *
Required
EDP runs from 6:30am-8:00am and 3:15pm-6:00pm. Students who are picked up late will be billed an additional $5 for every 10 minutes after 6:00pm. *
Required
Electronic Signature
I, the parent/guardian of the child(ren) named above, certify that all the information provided is true, complete, and accurate to the best of my knowledge. *
Your Name (First and Last) *
Your Relationship to the Child *
A copy of your responses will be emailed to the address you provided.
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