Registration Form
Hello Families,
Thank you for your interest in our programs. Our Morning Care Program runs from 6:30 a.m. until the beginning of the school day. The cost is $11 a day for Elmwood and $8 a day for our Shaw students. (Shaw students will be bused to Shaw at 7:50)
Our Aftercare programs run out of both buildings. They begin immediately after school and run until 6 p.m. The cost is $20 a day or $60 a week for Elmwood. The tuition at Shaw is $22 a day or $65 a week.
Should you have any questions regarding our programs please reach out to Michelle Gauthier - mgauthier@millburyschools.org for morning care for both schools and aftercare for Elmwood or to Corey Chaplis - cchaplis@millburyschools.org for Shaw.
We look forward to meeting you.
Michelle Gauthier and Corey Chaplis
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Email *
Student grade *
Student's Name (Please fill out a separate form for each student attending.) *
Start Date *
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My child will be attending ... *
Required
Parent / Guardians *
Days Attending Morningcare (If Applicable)
Days Attending Aftercare (If Applicable)
Your Contact Information *
My child has the following health issues / allergies. (Please note, the morning / aftercare staff are unable to administer medication at anytime.)
 *
I understand that I will be contacted immediately in the event of an emergency; however, if I am unable to be reached, I give the Before / After Care staff permission to contact the following people: *
I understand that there is no nurse on duty during the morning and aftercare progams. Should there be a medical emergency, 911 will be called for medical assistance. 
 *
Required
I give the following adults permission to pick up my child from the after care program. (Identification will be requested.) *
By answering yes and completing this form,  you are acknowledging that the above information is correct as well as confirming that your child will be attending one or both of these programs in the fall. (Please note: once you fill out this form your is child enrolled and is ready to begin attending the program. This form is your confirmation.) *
Required
By answering yes you acknowledge that you are responsible for payment and you also acknowledge that you have read the parent handbook, by click here. *
Required
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