June, 2017

AFTER-SCHOOL PROGRAM SHCA PreK for All Students

Dear Parents,

Our After School Program will include snack time, homework time, free time (inside or outside), crafts, time in the computer lab, and movies. It will run from dismissal time until 6:00 p.m. and will be under the supervision of Sacred Heart Catholic Academy teachers.

Participation in the After School Program is on a monthly basis and you can choose the 5 day or 3 day option. If the 3 day program is selected, the days must be set days chosen at the beginning of each month. The program is open to the Pre Kfor All students in SHCA.

The costs of the program are indicated below:

Registration:$25.00 per child

5 Day Program:$375.00 per month (one child)

$475.00 per month (two children)

$550.00 per month (three children)

3 Day Program:$275.00 per month (one child)

$350.00 per month (two children)

$415.00 per month (three children)

Late Fees:$10.00 per 15 minutes you are late picking up your child.

Payments are due at the beginning of each month. To enroll in the program the registration fee and monthly fee is due no less than two daysprior to beginning.

Children should bring a light snack.

Children are to be picked up no later than 6:00 p.m. at the 78th Avenue entrance.

If you are interested in the program, please complete the attached forms and return them along with your registration fee and the first month’s payment made payable to Sacred Heart Catholic Academy.

If you have any questions, feel free to call.

Sincerely,

Ms. Joanne Gangi, Principal

AFTER SCHOOL PROGRAM

PARENTAL PERMISSION / INFORMATION FORM

Students’ NameGradeBirthdate

______

______

______

Program Information:

My child / children are being enrolled in the:

( ) 5 Day Program( ) 3 Day Program – Specify Days:______

Parent Information:

Parent’s Name: ______

Address: ______

Phone: Home ______Work ______Cell ______

Name and phone number of those who are authorized to pick up your child from the After School Program:

______

EMERGENCY CONTACTS – MUST BE COMPLETED

List names and telephone numbers of those who are authorized to provide care for your child in the event you are delayed in arriving by 6:00 p.m.

Name: ______Phone: ______

Relationship: ______

Any Emergency? ______(Y/N)Only if delayed ______(Y/N)

Name: ______Phone: ______

Relationship: ______

Any Emergency? ______(Y/N)Only if delayed ______(Y/N)

Medical

Allergies to food: ______

Special Diet: ______

Physical Activity: ______

Parent’s Signature: ______Date: ______