St. Mary School -Lead Program Application

CHILD(REN)'S NAME?SGRADE

GRADE

GRADE

PARENT/GUARDIAN'S NAME

ADDRESSCITY

HOME PHONEZIP CODE

 

OPTION SELECTED: Please indicate one of the following options

I- 7:00 - 8:05 a.m.

$ 100.00 per month

II- 2:30 - 4:00 p.m.

$ 125.00 per month

III- 2:30 - 5:00 p.m.

$150.00 per month

IV- 2:30 - 5:30 p.m.

$ 175.00 per month

V- 2:30 - 6:00 p.m.

$ 200.00 per month

Options I and II

$ 225.00 per month

Options I and III

$ 250.00 per month

Options I and IV

$275.00 per month

Options I and V

$300.00 per month

Drop-In

$9.00 per hour

 

Fees are payable on a monthly basis and are due on the first day of each month, September through May.

There is no after-school care provided on the day prior to Christmas and Easter breaks, on days when the LEAD personal must attend school-related functions, or when classes are not in session.

THERE WILL BE A LATE PICK-UP FEE OF $40:00 Per Child AFTER 6:00 p.m.

NOTE: We require that parents arrange alternative child care plans in case of an emergency, severe weather, student illness, days when after-school LEAD is not in session, etc. Due to increase problems experienced, we will exclude children from LEAD for seriously disruptive behavior, repeated failure of parents to pick up/keep sick children home, or repeated late pick up.

Both before and after-school LEAD Programs begin on August 23, 2011.

A non-refundable $10.00 registration free must accompany this application, which should be returned to the school office no later than Monday, Aug.22 2011. Applications received after this date will be honored only as space and staffing is available.

There is no LEAD on half days and days prior to an extended vacation.

Children are asked to bring a healthy snack and a book to read daily.

I/We agree to abide by the school rules and regulations stipulated for the LEAD Program as described above.

Signature

Date

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