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BEFORE-SCHOOL CARE PROGRAM BEFORE SCHOOL CARE will begin at 7:00 a.m. AUGUST 14: FOR GRADES 1-7 AUGUST 16: FOR PK 3 and 4 year olds & KINDERGARTEN All students are to report to JAN SINGLETARY, ROOM 9, in the Incarnate Word Building. Please enter through the back gate on Codifer to access Mrs. Jan’s Classroom’s back door. The daily cost of this service is $5.00 per day, per child. There will be a MAXIMUM CHARGE OF $15.00 PER DAY PER FAMILY. Payments can be made using the First Bank and Trust’s Payment System or to the Before Care teacher. Please make Checks payable to SCS. NO CASH will be accepted. All financial obligations are delinquent after the 15th of the month. If payments are not made in a timely fashion services will be denied. Students must be escorted to the classroom. ST. CATHERINE OF SIENA SCHOOL BEFORE SCHOOL CARE REGISTRATION FORM $10.00 Registration Fee per child Check # _____________ or $15.00 per family STUDENT’S NAME __________________________________________________________________________________ Grade __________ Date of Birth ____________ Teacher _________________________ STUDENT’S NAME __________________________________________________________________________________ Grade __________ Date of Birth ____________ Teacher _________________________ STUDENT’S NAME __________________________________________________________________________________ Grade __________ Date of Birth ____________ Teacher _________________________ STUDENT’S NAME __________________________________________________________________________________ Grade __________ Date of Birth ____________ Teacher _________________________ Cell # to reach in morning in case of emergency. ____________________________ Parent’s e-mail address: ________________________________________________ I will need Before School Care for #_____days Please circle ( M - T - W - TH - F ) Please note any other special information teacher on duty may need. NOTE: No child may arrive before 7:00 am. ALL PRE-K AND K STUDENTS MUST REMAIN IN BEFORE SCHOOL CARE UNTIL 8:10 a.m. and will be brought to their class by a teacher. I agree to pay my financial obligation by the 15th of the month or services will be denied. Bills will be placed in older child’s name. Parent Signature _______________________________________________ Date ________________________
