2020-2021 ASC New Family Registration
After-School Care (ASC) is preparing for the 2020-2021 school year. As Collegium’s enrollment numbers continue to increase, we anticipate a very strong interest in the ASC program. Please complete/submit this form and send the appropriate fees as outlined below. New family ASC registration begins Monday, April 27th and ends Friday, May 8th at 4:00 p.m.

In order to register your child(ren)for the 2020-2021 ASC program, please do the following:
#1. Complete the form below.
#2. Pay the non-refundable registration fee – $30.00 per child or $50.00 per family.
#3. Pay the August 2020 ASC tuition in the amount of $330.00 per child

Please submit fees to:
Collegium Charter School
Attn: Ms. LaNae Horsey
435 Creamery Way, Suite #300,
Exton, PA 19341

Fees must be submitted in a sealed envelope with the ASC student(s) first and last names indicated on the front. Fees must be paid-in-full before a child can be placed on the waiting list and prior to a student beginning in the program. Fees must be paid-in-full by Friday, June 5, 2020.

The 2020-2021 ASC registration fee is not applied to the August 2020 tuition and it is non-refundable. Full monthly tuition is due per child regardless of the number of days your child(ren) attends. There will be no additional charge for care on scheduled early dismissal days. Monthly tuition rates are adjusted rates as they have been divided out equally over an 11 month period to cover the entirety of the 2020-2021 school year. Monthly tuition is not adjusted for weather-related or emergency school closings.

Confirmation of registration will be provided via email. Once registration is confirmed, the August 2020 monthly tuition is non-refundable unless Collegium is able to fill your child’s space in the program with another student. If we cannot fill the space, the monthly tuition will not be refunded.

Questions? Please contact Ms. LaNae Horsey (lhorsey@ccs.us).
Child's First Name *
Please list the first name of the child you want to register in the ASC program.
Your answer
Child's Last Name *
Please list the last name of the child you want to register in the ASC program.
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's 2020-2021 Grade level *
Remember, 2020-2021 begins in August 2020.
Child's Medical Alerts *
If medical alerts do not exist, please select "N/A". If medical alerts exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians when possible.
Child's Allergies *
If allergies are not known, please select "N/A". If known allergies exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Dietary Restrictions *
If dietary restrictions are not applicable, please select "N/A". If dietary restrictions exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Street Address *
Your answer
Child's City *
Your answer
Child's Zip Code *
Your answer
Parent/Guardian #1 First Name *
Your answer
Parent/Guardian #1 Last Name *
Your answer
Parent/Guardian #1 Home Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Your answer
Parent/Guardian #1 Cell Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Your answer
Parent/Guardian #1 Work Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Your answer
Parent/Guardian #1 Primary Email Address *
ASC registration confirmation is provided via email message. Please provide your primary email address below to receive registration confirmation and any additional information related to the ASC program.
Your answer
Parent/Guardian #2 First Name
Your answer
Parent/Guardian #2 Last Name
Your answer
Parent/Guardian #2 Home Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Your answer
Parent/Guardian #2 Cell Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Your answer
Parent/Guardian #2 Work Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Your answer
Parent/Guardian #2 Primary Email Address
Your answer
Need To Register a Sibling for 2020- 2021? *
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