Extended Care Program Registration

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Please complete the following form for each student utilizing the Extended Care Program.

Registration will be billed on the first month of extended care use.

Students may not use the Extended Care Program until they are fully registered.

Email *

Student Name *

Student Homeroom *

I am registering my child(ren) for the St. Rita School Extended Care Program for the 2023-2024 school year. *

Yes

I understand students (TT3-7th) attending Before School Care may not be dropped off before 7:00AM. *

Yes

I understand students attending After School Care must be picked up before 5:30PM. *

Yes

I understand that any student not picked up by 5:30PM will incur a charge of $2 per minute. *

Yes

I understand that any student not picked up from 'Study Help' will be signed in to ASC and charged accordingly. *

Yes

I understand Extended Care Balances are due monthly and my account must remain current to continue utilizing the Extended Care Program. *

Yes

I understand that the Extended Care Program is a service provided by St. Rita School. I understand students must behave in a manner exemplifying the St. Rita Student Profile.

Inappropriate behavior while participating in the program will be dealt with accordingly and may result in the suspension or revocation of privilege of attendance.

Yes

I consent to the following procedure regarding student injury:

In the event of medical emergency, we shall activate 911 or take your child for evaluation & necessary initial treatment at the emergency room should we not be able to contact you first.

Yes

I agree to remit the $15 registration fee per child to the school office. *

Yes

A copy of your responses will be emailed to the address you provided.

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