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 *
Program Selection *
Please select the days your child will be staying after school. (Select all days if you are enrolled in the five day program.)
Student First Name *
Student Last Name *
Student Grade Level *
Parent Name (Contact #1) *
Primary Phone # (Contact #1) *
Alt Phone # (Contact #1) *
Parent Name (Contact #2) *
Primary Phone # (Contact #2) *
Alt Phone # (Contact #2) *
Parent (Contact #2) Email Address *
Does student have any other sibling(s) at Thorp? *
Sibling at Thorp
Sibling at Thorp
Sibling at Thorp
Does your student have a 504/IEP? *
Does student have any medical conditions/allergies? *
Does student have any restrictions/limitations? *
In the event of Emergency Please Contact: *
Emergency Contact Phone #: *
Is there a court order of protection against any individual? *
Any Comments or Questions you may have? *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Chicago Public Schools. Report Abuse