The Den: 2018-2019 New Family Registration
Collegium is excited to introduce a new recreation-based after-school program--"The Den"--for our students in Grades 7 and 8. The Den will operate after each school day from 3:30pm - 5:30pm in our 515 Building. Ms. LaNae Horsey, Director of Collegium's Child Care programs (Before/After-School Care and Camp Collegium) will supervise a team of CCS Middle and High School employees who will serve as The Den's staff.

The Den is designed to provide an inclusive environment where Middle School students will be inspired to develop creative initiatives, mental agility, civic literacy, healthy lifestyles, and more. Our new program will be divided into three sessions, each focusing on concept areas that will equip Middle School students with tools valued in today's society.

In order to register your child(ren) for The Den's 2018-2019 sessions, please do the following:

#1. Complete the form below.
#2. Pay the non-refundable registration fee of $30 per session.
#3. Pay the session fees as highlighted in the payment schedule below.

Session dates* and fees for The Den are:

---Fall Session (13 Weeks)---
Dates: September 4, 2018 - November 30, 2018
Fee: $720
Payment Schedule: $360 due October 5, 2018; $360 due November 2, 2018

---Winter Session (13 Weeks)---
Dates: December 3, 2018 - March 15, 2019
Fee: $744
Payment Schedule: $372 due November 30, 2018; $372 due February 1, 2019

---Spring Session (12 Weeks)---
Dates: March 18, 2019 - June 13, 2019
Fee: $684
Payment Schedule: $342 due March 15, 2019; $342 due May 3, 2019

Session fees remain the same regardless of the number of days/weeks your child(ren) attends during the outlined session dates. Additionally, session fees have been adjusted for the few weeks during the school year when Collegium is only in session for a partial week (ex., Thanksgiving week). Session fees are not adjusted for weather-related delays or closings.

Please submit fees to the attention of Ms. LaNae Horsey, 435 Creamery Way, Suite 300, Exton, PA 19341. Fees must be submitted in a sealed envelope with the first and last names of the registered student(s) indicated on the front. Fees for each session must be received by the dates outlined above.

Confirmation of registration will be provided via email. Once registration is confirmed, the registration and session fees are 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 session fee will not be refunded.

Questions? Please contact Ms. Horsey (LHorsey@ccs.us).

*Are you a parent/guardian of a student-athlete? Don't worry! Ms. Horsey coordinated The Den session dates with Mr. John Allen, Director of Athletics, so they do not impact CCS Middle School Athletics schedules.

Child's First Name *
Please list the first name of the child you want to register for The Den program.
Your answer
Child's Last Name *
Please list the last name of the child you want to register for The Den program.
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's 2018-2019 Grade Level *
I am registering my child for the following sessions: *
Please check all that apply.
Required
Child's Medical Alerts *
If medical alerts do not exist, please select "N/A." If medical alerts do exist, please describe them in the "Other" field. 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 an emergency vehicle. We will continue to attempt to notify parents/guardians when possible.
Child's Dietary Restrictions *
If dietary restrictions do not apply, please select "N/A." If dietary restrictions do exist, please describe them in the "Other" field. 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 an emergency vehicle. We will continue to attempt to notify parents/guardians when 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 *
The Den registration confirmation is provided via email message. Please indicate your primary email address below to receive registration confirmation and any additional information about The Den 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 The Den 2018-2019? *
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