subject_line
Child Information
I am interested in registering for the After Care program. Upon registration, I understand an account will be setup and a registration fee of $50 per student will be billed to my account. BEFORE CARE WILL NOT BE AVAILABLE UNTIL FURTHER NOTICE DUE TO COVID-19.
Yes
Child's First Name
Child's Last Name
Child's Grade and Teacher
Before Care Information
BEFORE CARE WILL NOT BE AVAILABLE UNTIL FURTHER NOTICE DUE TO COVID-19. I will be using the Before Care program for the following:
occasionally
on a regular basis
Please indicate all days of the week that apply.
Yes
Monday
Yes
Tuesday
Yes
Wednesday
Yes
Thursday
Yes
Friday
Yes
After Care Information
I will be using the After Care program for the following:
occasionally
on a regular basis
Please indicate all days of the week that apply.
Yes
Monday
Yes
Tuesday
Yes
Wednesday
Yes
Thursday
Yes
Friday
Yes
I will be using the After Care program during the sport's season
Yes
Please indicate all sports that apply.
Yes
Baseball
Yes
Basketball
Yes
Cheerleading
Yes
Cross Country
Yes
Fastpitch Softball
Yes
Football
Yes
Track
Yes
Volleyball
Yes
Wrestling
Yes
Adults and/or coaches authorized to pick up and sign my child out of NDES After Care Program. (We realize you may not know your winter/spring coaches. When that information becomes available or information changes, please update the office.)
First Name
Last Name
#1
First Name
Last Name
#2
First Name
Last Name
#3
First Name
Last Name
#4
First Name
Last Name
Other Information
The Before and After Care program will use the Emergency Medical Authorization information supplied on the Back-to-School form.
Contact Information
First Name
*
Last Name
*
Phone Number
*
Email Address for billing statements
*