Administrative Office

Administrative Office

Phone: 631-732-2186

Fax: 631- 732-2187

Website:

Email:

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

September Morning Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

SeptemberAfter Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

October Morning Care Calendar

M / T / W / T / F
3 / 4 / 5 / 6 / 7
10 / 11 / 12 / 13 / 14
17 / 18 / 19 / 20 / 21
24 / 25 / 26 / 27 / 28
31

October After Care Calendar

M / T / W / T / F
3 / 4 / 5 / 6 / 7
10 / 11 / 12 / 13 / 14
17 / 18 / 19 / 20 / 21
24 / 25 / 26 / 27 / 28
31

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

November Morning Care Calendar

M / T / W / T / F
1 / 2 / 3 / 4
7 / 8 / 9 / 10 / 11
14 / 15 / 16 / 17 / 18
21 / 22 / 23 / 24 / 25
28 / 29 / 30

November After Care Calendar

M / T / W / T / F
1 / 2 / 3 / 4
7 / 8 / 9 / 10 / 11
14 / 15 / 16 / 17 / 18
21 / 22 / 23 / 24 / 25
28 / 29 / 30

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

December Morning Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

December After Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

January Morning Care Calendar

M / T / W / T / F
2 / 3 / 4 / 5 / 6
9 / 10 / 11 / 12 / 13
16 / 17 / 18 / 19 / 20
23 / 24 / 25 / 26 / 27
30 / 31

January After Care Calendar

M / T / W / T / F
2 / 3 / 4 / 5 / 6
9 / 10 / 11 / 12 / 13
16 / 17 / 18 / 19 / 20
23 / 24 / 25 / 26 / 27
30 / 31

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

February Morning Care Calendar

M / T / W / T / F
1 / 2 / 3
6 / 7 / 8 / 9 / 10
13 / 14 / 15 / 16 / 17
20 / 21 / 22 / 23 / 24
27 / 28

February After Care Calendar

M / T / W / T / F
1 / 2 / 3
6 / 7 / 8 / 9 / 10
13 / 14 / 15 / 16 / 17
20 / 21 / 22 / 23 / 24
27 / 28

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

March Morning Care Calendar

M / T / W / T / F
1 / 2 / 3
6 / 7 / 8 / 9 / 10
13 / 14 / 15 / 16 / 17
20 / 21 / 22 / 23 / 24
27 / 28 / 29 / 30 / 31

March After Care Calendar

M / T / W / T / F
1 / 2 / 3
6 / 7 / 8 / 9 / 10
13 / 14 / 15 / 16 / 17
20 / 21 / 22 / 23 / 24
27 / 28 / 29 / 30 / 31

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

April Morning Care Calendar

M / T / W / T / F
3 / 4 / 5 / 6 / 7
10 / 11 / 12 / 13 / 14
17 / 18 / 19 / 20 / 21
24 / 25 / 26 / 27 / 28

April After Care Calendar

M / T / W / T / F
3 / 4 / 5 / 6 / 7
10 / 11 / 12 / 13 / 14
17 / 18 / 19 / 20 / 21
24 / 25 / 26 / 27 / 28

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

May Morning Care Calendar

M / T / W / T / F
1 / 2 / 3 / 4 / 5
8 / 9 / 10 / 11 / 12
15 / 16 / 17 / 18 / 19
22 / 23 / 24 / 25 / 26
29 / 30 / 31

May After Care Calendar

M / T / W / T / F
1 / 2 / 3 / 4 / 5
8 / 9 / 10 / 11 / 12
15 / 16 / 17 / 18 / 19
22 / 23 / 24 / 25 / 26
29 / 30 / 31

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

SCYA 2016-2017 Before & After Care Schedule

Parents must complete this form and circle the days your child will be attending the SCYA program. Return on or before the 15th of every month to the Program or SCYA Office.

Circle: Full time before carePart time before care Full time after carePart time after care

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

Child’s Name: ______Grade: ______

School Site: ______Teacher/ Room #______Bus #______

June Morning Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

June After Care Calendar

M / T / W / T / F
1 / 2
5 / 6 / 7 / 8 / 9
12 / 13 / 14 / 15 / 16
19 / 20 / 21 / 22 / 23
26 / 27 / 28 / 29 / 30

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______

Amount Received: ______Date: ______Method of Payment: ______Staff Initials: ______Parents Initials: ______