2022-2023 Spartan Afternoon Academy-Bentonville
After School Academy will be from 3pm-5:30pm Monday through Friday.
Cost: $60 a week.  Please note this is regardless of attendance.  There is not a 3 day a week option.
*Weekly payment is due each week on Monday.  Tuesday morning a $10 late fee will be assessed on accounts in arrears.  
*Please fill out a separate form for each child being enrolled.  
*If you are enrolling a student for the first time, there is a $50 nonrefundable registration fee due the first week of school.  

Email katshipman@responsiveedar.com

*Checks made out to Founders Classical Academy or K-12 Payment system online. Cash not accepted
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Email *
Student Name *
Birth Date *
Grade *
Gender *
Name of siblings also attending Afternoon Academy *
1. Parent/Guardian Name *
1. Parent/Guardian Phone Number *
2. Parent/Guardian Name *
2. Parent/Guardian Phone Number *
2. Parent/Guardian Email *
Emergency Contact Name *
Emergency Contact Phone Number *
I understand that there is a penalty fee of $1/minute for anyone being picked up after 5:30. *
I understand and agree to  pay $60 weekly regardless of attendance. *
Please list any other adult allowed to pick up besides parents: *
Please list any health concerns we need to know: *
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