Current School Year

Before School Care

Time Contract Price Drop in Price

7:30 – 8:30 $2.00 $3.00

8:00 - 8:30 $1.00 $2.00

8:20 - 8:30 Normal drop off time

11:30-12:30 $2.00 $3.00

Half-day session $20.00 (needs Administrator’s approval)

After School Care

3:30 - 5:00 $3.00 $5.00

3:30 - 4:30 $2.00 $3.00

3:30 - 4:00 $1.00 $2.00

3:30 - 3:45 Normal pickup time

Please complete and return the form below if you are planning to use the contracted before and after school care. Contracted rate $2.00/hr and Drop In $3.00.hr.

*Contracted rate includes sick days and personal days.

*Sibling discounts are given

You can contract for any combination of days of the week or times. Check the day and times that you will need before or after school care. The contracted rate to be paid on the 1^st of the following month. Please note if included with tuition payment.

Drop In needs to be paid that day you pick up your child.

Child’s Name__________________________________________

A.M. Monday Tuesday Wednesday Thursday Friday

7:30 _______ _______ _______ _______ _______

8:00 _______ _______ _______ _______ _______

P.M.

4:00 _______ _______ _______ _______ _______

4:30 _______ _______ _______ _______ _______

5:00 _______ _______ _______ _______ _______

_______I will be using the before or after school care. My times and days are indicated.

Parent’s Signature________________________________________Date_____________