Thorp After Care (Tuition Based After School Program)
Please fill out this form to reserve your spot for our after care program.

The program will begin the first day of school and run throughout the duration of the school year, Monday through Friday from 2:45 until 6:00 pm (Snack will be provided). Students must be picked up by 6:00 pm a $25.00 Late Fee will be charged.

Monthly payments are due on the 16th of each month (a Late Fee will be charged if not received by the 16th).

Parents: We understand throughout the year students will participate in extra-curricular activities (ie Sports, Theater, Out of School Time). We ask you notify us via email.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade Level *
Parent Name (Contact #1) *
Your answer
Primary Phone # (Contact #1) *
Your answer
Alt Phone # (Contact #1) *
Your answer
Parent Name (Contact #2) *
Your answer
Primary Phone # (Contact #2) *
Your answer
Alt Phone # (Contact #2) *
Your answer
Parent (Contact #2) Email Address *
Your answer
Program Selection *
Required
Does student have any other sibling(s) at Thorp? *
Required
Sibling at Thorp *
Your answer
Sibling at Thorp *
Your answer
Sibling at Thorp *
Your answer
Does your student have a 504/IEP? *
Does student have any medical conditions/allergies? *
Your answer
Does student have any restrictions/limitations? *
Your answer
In the event of Emergency Please Contact: *
Your answer
Emergency Contact Phone #: *
Your answer
Is there a court order of protection against any individual? *
Required
Any Comments or Questions you may have? *
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 Chicago Public Schools. Report Abuse - Terms of Service