Andre Agassi After-School

HomeWork Club

The program includes a snack, tutoring or homework assistant, followed by an enrichment class. There is currently no charge for the after school enrichment and tutoring program for those students enrolled in the program.At this time, during our first phase of the program, enrollment is by invitation only for K-8th grade. There is a 6 week commitment required from students and parents.

If you have received this application, it means that your student was recommended to participate in the afterschool program which offers tutoring and enrichment courses.

Elementary Program Hours
3:30-4:00 Snack time/bathroom
4:00-4:45 tutoring/HW help
4:45-5:00 enrichment (if work is completed

After-school rules and guidelines

  • Students must go immediately to the after-school location(TECH Center).Homework begins promptly after school.
  • A nutritious snack and a drinkwill be provided.
  • Elementary parents must pick-up students by 5:00 pmsharp
  • All parents will be charged $1 a minute for late pick-ups.
  • All AACPA rules are in effect during the after-school program.
  • Students who cannot follow the rules will lose the privilege of attending the after-school program
  • Students will only be released to the adults listed on enrollment paperwork.
  • A Calendar of all days that the After Care Program is in session will be provided.

Registration & Fees for 2014-15 School Year

  • After School: End of school day to 5:00 pm ONLY

Schedule of Fees:

•Agassi After School Program is a PREPAID program. This is done for the safety of students by

pre-determining staff coverage needs.

Our policy for payment of fees is CASH ONLY.

  • After School Only: $100 / Month or $25/Week
  • After School Only: • Tuesdays only: $25 / Month or $6.00/Day
  • After School - Snack included
  • Monthly fees due on the last school day prior to the new month
  • Weekly fees due on Fridays

Registration Fee:

  • $10 (per child)

NO DROP-IN’S WITHOUT PRIOR NOTICE. Fees must be paid in advance

Andre Agassi College Preparatory Academy

2014-2015

After Care Program Application

CHILD’S NAME: ______STARTING DATE: ______

CLASSROOM TEACHER’S NAME: ______GRADE: ______AGE: ______

WHO DOES CHILD LIVE WITH: BOTH PARENTS MOM DAD OTHER 

NAME OF MOTHER/GUARDIAN: ______PHONE: ______

ADDRESS: ______CELL PHONE: ______

WORK PLACE: ______WORK PHONE: ______

NAME OF FATHER/GUARDIAN: ______PHONE: ______

ADDRESS: ______CELL PHONE: ______

WORK PLACE: ______WORK PHONE: ______

EMERGENCY CONTACTS: ______PHONE: ______

______PHONE: ______

______PHONE: ______

FAMILY DOCTOR’S NAME: ______PHONE: ______

MEDICAL CONCERNS WE SHOULD BE AWARE OF (ALLERGIES, ETC.): ______

NAMES OF PERSONS, OTHER THAN PARENTS, TO WHOM YOUR CHILD MAY BE RELEASED:

______

______

INSURANCE CARRIER: ______POLICY NUMBER: ______

BY SIGNING BELOW, I HEREBY AGREE TO ABIDE BY THE TERMS AND CONDITIONS OF THE PROGRAM.

SIGNATURE: ______PRINT NAME: ______DATE: ______

Name/Grades of other sibling(s):

Name / Grade / Teacher

PLEASE COMPLETE AND RETURN THIS FORM TO THE OFFICE IMMEDIATELY. IF THIS FORM IS NOT SUBMITTED YOUR CHILD CAN NOT ATTEND.

Andre Agassi After-School

Home Work Club

After School FAQ’s

Q: Am I required to attend every day of the week?

A:No: You may sign up for any and as many days as you would like. You will receive a calendar every

month that you can specifically mark the days you wish to attend.

Q: How many staff are at the AACPA After School Program?

A: There will be two staff members every day.

Q: What are the hours of the program and can I pick my child up early?

A: The after school program will conclude at 5:00pm.

You can pick up your child at any point of the program.

Q; This sounds great! Where do I sign up?

A: Visit and click Elementary School then the Before & After School Tab to print off forms or contact Connie Pickens-Sutton at 702-316-2307 or for registration options.

AACPA – ASHC Wednesday, August 13, 2014