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Name by which your child likes to be called
Date of Birth
City, State, Zip
Mom's Cell Number
Dad's Cell Number
City, State & ZIP
Relationship to the Child
5 days (until 4:30) - $105 monthly5 days (until 5:30) - $160 monthlydrop-in ($15 each drop-in)
There is a one-time enrollment fee of $35.00 each year. Full payment is due on the first of every month and is considered late after the 23rd. If full payment is not received for two months, then your child will be removed from the program. If your child is not picked up on time you will be assessed a late fee. See the SCS handbook for more information.
I agree and fully understand this agreement policy. Failure to comply will result in the removal of my child from the Southcrest Christian School After School Care Program.