St. Mary’s Catholic School

Before and After School Care

Registration Form

2007-2008

Before School Care                  7:00AM - 8:30AM

After School Care                    3:30PM – 4:30PM

Fees:  Hourly Rate is $4.00

           Minimum charge for anytime a student is in Before and/or After                                    

           School care is $2.00. 

 ****All time is rounded to the next quarter of an hour.****

Overtime Fees:  A fee of 25 cents per minute will be charged when a child is not picked up by 4:30 p.m.

Attendance logs will be kept on each child and you will be charged in accordance with these logs. Payments are to be delivered to the office.

* Please include your child’s name with payment.  For more information, call 355-5288.

Please Print

Student(s) Name _____________________________________________________

                            _____________________________________________________

                            _____________________________________________________

Emergency Contacts:

1)      Name__________________________________________________________

      Address_________________________________________________________

      Phone Number___________________________________________________

2)      Name_________________________________________________________

Address________________________________________________________

Phone Number__________________________________________________

______________________________________

Parent/Guardian Signature

*Late Fees:  Bills are sent home in VIP folders every 2 weeks.  Payment is due by the following Monday. 

A late fee of $5.00 will be applied if paid after the due date.

(Example – Bill goes home on Friday, September 3, bill is due in Monday the 14.)

 If paid after the 14^th a $5 late fee will be assessed on the next bill.