Before & After Care Application
Mansfield Township Elementary School offers both a Before Care and After Care program for children in kindergarten through 6th Grade. Before Care begins at 7AM, with breakfast being served until 8AM each day. Breakfast is an additional fee. After Care begins at dismissal and runs until 6PM. There will be an additional charge of $3.00 per minute that you are late picking up your child. THIS LATE FEE IS STRICTLY ENFORCED.

Homework assistance, computers, indoor and outdoor playtime, craft projects, and snack will be provided.

Please click the link below for more details, including tuition schedules and contact information for the program coordinator and billing/enrollment questions.
https://docs.google.com/document/d/1yPdrGpmSj4GBkvp5KJUa8mX0l_Ej-Sgpke05Wq9drkE/edit?usp=sharing

If you are interested please fill out the application below and send your non-refundable deposit of $25 to :
Mansfield Township Board of Education
ATTN: Before/After Care Program
50 Port Murray RD
Port Murray, NJ 07865
Sign in to Google to save your progress. Learn more
Email *
Student's Name *
Grade for 2021/2022 *
Days Attending Before Care (begins at 7AM)
Monday
Tuesday
Wednesday
Thursday
Friday
Morning Care
Days Attending After Care (ends at 6PM)
Monday
Tuesday
Wednesday
Thursday
Friday
After Care
Medical Concerns/Allergies *
Mother's Name *
Mother's Cell Phone *
Mother's Work Phone *
Father's Name *
Father's Cell Phone *
Father's Work Phone *
Emergency Contact Name *
Emergency Contact Home Phone Number *
Emergency Contact Cell Phone Number *
Emergency Contact Work Phone Number *
Relationship of Emergency Contact to Student *
Additional Individuals who have permission to pick up your child. (ID will be checked. Must be at least 18 years old.)
Please put a check next to each box indicating that you have read and agree to these terms. *
Required
Please type your name below, which represents your agreement to the above terms and provide a $25 non-refundable deposit made payable to the Mansfield Township BOE. *
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mansfield Township School District. Report Abuse