Leicester Before/After School Registration
Before School Program Cost: $8.00 per day
After School Program Cost: $12.00 per day (snack included)
Please fill out a seperate form for each child.
Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Grade *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone # *
Your answer
Before School Days *
Required
After School Days *
Required
I have read the Before/After School Program Handbook and accept all the guidelines. https://docs.google.com/document/d/1dej8x6GNJ0MUtBIY7WkPPjS6nx7-gZv9ZV88CWGDTuY/edit *
Required
I understand payments are expected in full, prior to the upcoming month of the program. *
Required
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