Extended Day Drop-In Request
Families in need of a single day of after-school care from time to time may take advantage of a daily rate of $35 to 6pm or $20 to 4:30pm. You may use this form to request up to 5 days at a time.

One form per student must be submitted.

A MINIMUM NOTICE OF 24-HOURS IS REQUIRED.

We are very close to capacity for many grades and may not be able to approve your request.

You will receive an email notice when your request is accepted or if it is unable to be accommodated. Thank you for your understanding.
Email address *
Phone Number *
Your answer
Parent/Guardian Name (First & Last) *
Your answer
Student Name (First) *
Your answer
Student Name (Last) *
Your answer
Student Grade *
Student's Teacher (Lower School) or Advisor (Middle School) *
Please select the date needed *
MM
/
DD
/
YYYY
Please select pick up time *
If you need additional dates, please select below:
OPTIONAL
Requested Date #2
MM
/
DD
/
YYYY
Please select pick up time for request #2
Requested Date #3
MM
/
DD
/
YYYY
Please select pick up time for request #3
Requested Date #4
MM
/
DD
/
YYYY
Please select pick up time for request #4
Requested Date #5
MM
/
DD
/
YYYY
Please select pick up time for request #5
If you have more than 5 dates, please email abuffey@stmschool.net
You will be billed at the end of the month of the date in question.
Submit
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