BPY Extended Hours Enrollment Form 2017-18
At BPY, we are sensitive to the needs of our parent body and offer flexible extended day options to accommodate varied arrival/dismissal schedules. We offer full aftercare on every school day (M-TH), including all early dismissal days, except for the days noted on the school calendar. Extended day options begin on your child’s first full day of school.

**Please note that these services are not available on an as needed, pay per diem basis**

Kindly complete a separate enrollment form for each child. Responses are due by July 3, 2017.

The business office will automatically bill you through TADS according to the tuition payment schedule you have chosen. For payment questions, please contact Shoshi Ryp in the business office at shoshir@benporatyosef.org or Ext. 12.

Parent Name
Your answer
Parent Cell Phone
Your answer
Parent Email
Your answer
Child's Last Name (Please fill out one form per child.)
Your answer
Child's First Name
Your answer
Grade 17-18
EARLY DROP OFF
Early drop off begins at 8:00 AM. Prices are per year for the full week (M-F).
Please select the early drop off option for which you would like to enroll:
AFTERCARE
Students in grades T-8 (depending on schedule) will have free play and time to work on their homework. Please send a snack from home.

Parents may choose to sign up for aftercare on certain days of the week only. Pricing is for the entire year.

For full week M-Th enrollment, select the option below:
For 1-3 days a week only, select the days and time below:
3:30-4:30PM ($300)
3:30-5:00PM ($450)
3:30-5:30PM ($600)
4:30-5:30PM ($300, grades 6-8 only)
Mondays
Tuesdays
Wednesdays
Thursdays
Notes:
Your answer
Late Pick Up Fee:
Please be sure to be punctual when picking up your child. We need to pay the instructor to stay when you are late
and this cost will be passed along to you. If you consistently arrive late for pickup, you will be charged $10 for every 5
minutes you are late.

Cancellation:
Cancellations will be made on a prorated basis at the discretion of the school. In the event that school closes early
due to inclement weather, aftercare will be cancelled. The administration reserves the right to cancel aftercare when
there is a safety concern for the children and staff.

By signing below, I confirm that I have read and accept the terms of BPY's extended care program. Please enroll my child as specified above.
Electronic Signature
Your answer
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