Extended Day Application 2022-23 School Year Extended Day Application Parent's Name(Required) First Last Email(Required) Phone(Required)Student's Name(Required) First Last Student's Class(Required) Transitional Kindergarten Pre-K 4 AM Dual Language 4 AM STEM 4 AM Three's and/or Fun Friday I would like to enroll my student for Before Care on the following days: Before Care - Monday Before Care - Tuesday Before Care - Wednesday Before Care - Thursday Before Care - Friday I would like to enroll my student for Lunch Bunch on the following days: Lunch Bunch - Monday Lunch Bunch - Tuesday Lunch Bunch - Wednesday Lunch Bunch - Thursday Lunch Bunch - Friday $100 Non-refundable payment due with your applicationThe remaining balance will be billed per the "Extended Care Payment Schedule" outlined on our website. The $100 non-refundable payment will be applied to your student's final Extended Care payment. Students enrolling mid year will be provided with a prorated Extended Care Payment Schedule. Price: Total Consent I agree to the payment schedule outlined for Extended Care.Signature Reset signature Signature locked. Reset to sign again Payment MethodPayPal CheckoutCredit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ
