North 2020-2021 Registration
Registration Fee: $21 per child
Tuition: $102 per month
** Department of Workforce Services and SUU childcare assistance are accepted**

Tuition must be paid on or before the 5th of each month. Tuition paid after the 5th of the month will be subject to a $5 per day late fee. We follow the Iron County School District Calendar for holidays and breaks. If, for any reason, changes are made to our calendar you will be notified by email.

Payment may be made by: Check, Debit/Credit (through our website), or Venmo (@Afterschoolallstar).
We accept state childcare assistance through DWS and SUU childcare assistance.
Email address *
Child's Name (First & Last) *
Date of Birth *
Grade *
Teacher *
List any allergies/medical conditions *
Parent/Guardian (First & Last) *
Primary Phone *
Alternate Phone *
Designated Adults: Only a parent/guardian or designated adult is allowed to pick up children from the program. Please list name(s) and phone number *
Emergency Contact Information: Please include name, phone, and relationship to child *
You understand that all program staff are CPR/First Aid certified and you give program staff authority to act in your child's best interest, should any medical care become necessary. *
You understand that children and parents are expected to follow all program rules. *
You give consent for Afterschool All-Stars to use photos and/or videos of your child on their social media and marketing tools (Facebook, Instagram, & *
You are the parent or guardian of the child listed in this registration form. You give permission for your child to participate in Afterschool All-Stars activities during the 2020-21 school year and you agree that Afterschool All-Stars is not liable for any injuries or lost items. *
Additional Information (Please indicate here if your child will be attending part-time or Wednesdays only)
A copy of your responses will be emailed to the address you provided.
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