2021-2022 Early Care & Extended Day Registration Form SchedulingPlease select one or more of the following day(s) that your child will be enrolled in the Extended Care Program:* Select All Monday Tuesday Wednesday Thursday Friday You are responsible for informing the school when your child does NOT intended to use the extended care program Please select one of the following options for enrollment in Extended Care. If you are selecting the “Full-year” option or the “Quarterly” option you will be billed at the beginning of each period. If you select the “Daily” option you will be billed on a weekly cycle. All billing for the Extended Care program will be done through FACTS, our tuition management system.● Mornings and Afternoons (7:00am - 8:00am; 3:00pm - 6:00pm) Full Academic Year Option: $3,400.0 Quarterly Option: $925.00 ● Afternoons ONLY (3:00pm - 6:00pm) Full Academic Year Option: $2,575.00 Quarterly Option: $720.00 ● Mornings ONLY (7:00am - 8:00am) Full Academic Year Option: $720.00 Quarterly Option: $225.00 ● Daily Option (Mornings and Afternoons) $10.00 for Mornings (Pricing is a fixed rate and will NOT be prorated.) $25.00 for Afternoons (Pricing is a fixed rate and will NOT be prorated.) Late Notification Fees ● All students in Extended Care must be pre-registered in advance of the day that they intended to use the program. Failure to pre-register your student will result in late fees in addition to the regular cost. Less than 24 hours notification: $5.00 late fee Less than 12 hours notification: $10.00 late fee Less than 1 hour notification: $15.00 late fee Late Pick Up Fees Failure to pick-up child from extended care at 6:00pm: $10.00 for every minute past 6:00pm that your child is not picked upInformationChild's Name* First Last Gender* Female Male Date of Birth* MM slash DD slash YYYY Grade Enrolled:* Special notes, comments or instructions for the Extended Care Specialist regarding your child or the schedule you have selected for enrollment. (If selected drop in option, please note what day your child will be utilizing the program.)Parent Name* First Last Parent Email* Emergency Phone:*Consent* By clicking here and submitting this application for Friends’ extended day program, I agree that the current school handbook and all information provided for my enrolled child extends to this programming (health information, allergies, pick-up permission, etc.) and will be followed with no exceptions.