Extended Care Registration 2019-2020
Please select which before/after care option you’d like from the options below and complete this form by August 16th, 2019. We cannot accept your child into our extended care program until this form has been filled out and submitted.

This year, toddler and preschool students will have before and aftercare in their respective classes with their respective teachers, unless low student numbers allow for combining. Kindergarten students will combine with Grades students with an afterschool teacher.

The option you choose will be repeated each month and be automatically billed through your chosen installments unless notified otherwise of a cancellation in your needs for extended care. You are also free to change your monthly option if needed at any point in the school year with at least two weeks notice of the start of the following month. These changes can be emailed to our Enrollment Director Maryoceane at enroll@bayouvillageschool.org. Before care is for students needing drop off before 8:30am, as early as 7:15am. For Aftercare, parents are free to pick up their child anytime between 3:30 - 6:00pm for the flat rates below. Your pick up times may vary from day to day or week to week and are up to your discretion. Families who do not need regular before or after care each week have the option to purchase our Extended Care Punch Card which is good for 10 before/after care drop ins. The cost of this card is $175.

Email address *
Student Name *
Your answer
DOB *
MM
/
DD
/
YYYY
Grade *
Your answer
Parent 1 Name *
Your answer
Parent 1 Email *
Your answer
Parent 1 Phone Number *
Your answer
Parent 2 Name
Your answer
Parent 2 Email
Your answer
Parent 2 Phone Number
Your answer
Does your child have any medical conditions or allergies? *
Your answer
Emergency Contact #1 + Phone Number *
Your answer
Emergency Contact #2 + Phone Number *
Your answer
Emergency Contact #3 + Phone Number *
Your answer
Please list all persons (first and last name) authorized to pick up this child.
Your answer
Please select which extended care options you need below. *
Required
If selecting 2 or 3x/week for After Care, please select which days:
If selecting 2 or 3x/week for Before Care, please select which days:
A copy of your responses will be emailed to the address you provided.
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