Extended Day Registration 2018 19
Student's First Name *
Your answer
Student's Last name *
Your answer
Student's Team/Grade for 2018/19 *
Required
Parent/Guardian Information
Parent/Guardian First and Last Name *
Your answer
Relationship to student *
Your answer
Best telephone number(s) during Extended Day time *
Your answer
2nd Parent/Guardian First and Last Name
Your answer
2nd Parent/Guardian telephone number(s)
Your answer
Relationship to student
Your answer
Best telephone number(s) during Extended Day time
Your answer
3rd Parent/Guardian First and Last Name
Your answer
3rd Parent/Guardian phone number(s)
Your answer
Relationship to student
Your answer
Best telephone number(s) during Extended Day time
Your answer
Fees and attendance
Fees for Extended Day
Registration Fee $25

Five Day Rate $3230
10% discount applied when paid in full by August 1, 2018
10% discounted five day rate would be $2900

Four Day Rate $2600

Three day Rate $1940

Two Day Rate $1300

One Day Rate $740

Daily "drop-in" Rate $20

Half-day "drop-in" Rate $30

Late Pick-up Fee $2.00 per minute after 6:00 p.m.

Contract Change-for each change to a multi-day year long contract $25

Fees include snack, homework support and technology access

Number of days per week my student will attend *
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