MAY 2017
EARLY MORNING & EXTENDED PLAY MONTHLY REGISTRATION
Please return this form no later than TUESDAY, Apri 18, to guarantee your child(ren)’s space(s).
If you turn in this form or your payment after April 18, your children are not guaranteed a spot.
They will be placed in a class only if space exists, and you will be charged the higher “drop-in” rates.
EARLY PLAY 8:00 a.m. – 8:45 a.m.
Timely Registration & Payment = $5.00 per child, per day
Drop-in (space always available), Late Registration or Late Payment = $10.00 per child, per day
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
1
2
3
4
8
9
10
11
12
15
16
17
18
19
22
23
24
NO SCHOOL
NO SCHOOL
NO SCHOOL
EXTENDED PLAY 12:00 p.m. – 3:00 p.m.
Timely Registration & Payment = $17 for the 1st child; $10 for each additional child
Drop-in, Late Registration, or Late Payment (if space exists) = $20 for the 1st child; $12 for each additional child
MONDAY
1
TUESDAY
2
WEDNESDAY
3
THURSDAY
FRIDAY
4
NO SCHOOL
NO EXTENDED
8
9
10
11
12
15
16
17
18
19
22
23
24
NO EXTENDED
NO SCHOOL
NO SCHOOL
A STAR INDICATES THAT THIS IS A GROUP STAFF MEETING DAY. PLEASE DO NOT SIGN UP
FOR EXTENDED PLAY ON ONE OF THESE DAYS, UNLESS IT IS A NECESSITY. THANK YOU!
First Child’s Name: ______________________ Class: ____________
Number of Days Early Play: ______ x $5 ($10, if late) = $ __________________________
Number Days Extended Play: ______ x $17 ($20, if late) = $ __________________________
Additional Child’s Name:______________________ Class: _____________
Number of Days Early Play: ______ x $5 ($10, if late) = $__________________________
Number Days Extended Play: ______ x $10 ($12, if late) = $ __________________________
Additional Child’s Name:______________________ Class:______________
Number of Days Early Play: ______ x $5 ($10, if late) = $__________________________
Number Days Extended Play: ______ x $10 ($12, if late) = $ __________________________
Debit for prior month’s drop-in days (call to ask):
$ __________________________
TOTAL AMOUNT ENCLOSED:
$ __________________________