Franklin Towne Charter Elementary School
After School Program 2018-2019

Franklin Towne Charter Elementary School is now accepting registrations for the 2018-2019 After School Program for all grades. The program runs from 3:15PM to 5:45PM Monday through Thursday; 1:30PM to 5:45 PM Friday (grades 1 to 8); 2:45PM to 5:45PM Monday through Friday for kindergarten. The program start date is the Monday of the first full week of school.

FEES:

  • A non-refundable registration fee of $35.00 per family is due at the time of registration. Registration deadline is June 15, 2018 for school year 2018-2019 orif we reach capacity.
  • Checks are to be made payable to “FTCES After School Program”
  • Weekly fee for 4:30 PM pickup:
  • One child = $40.00
  • Two children = $60.00
  • Three or more children = $80.00
  • Weekly fee for 5:45 PM pickup:
  • One child = $50.00
  • Two children = $70.00
  • Three or more children = $90.00
  • There will be noAfter School Program on days when there is a noon dismissal before a holiday or break or if there is an early dismissal due to inclement weather.
  • Snacks: snacks will be available based on the free/reduced/paid system used for breakfast and lunch. Pricing depends on number of ASP applicants. Information on pricing will be available in September. Student is permitted to pack their own snack for the after school program.
  • No toys/games/cards from home are permitted in the ASP.
  • Late pickup fees:
  • $5.00 per child for every 10-minute interval (or portion thereof) beyond your scheduled pickup time. Example, if your pick up time is for 4:30, you arrive at 4:35, the late fee is $5.00 per child; you arrive at 4:41, the late fee will be $10.00 per child.
  • Chronic lateness in picking up children will result in elimination of your child’s participation in the After School Program.
  • Payment schedule:
  • Fees are billed for the entire month. There are NO adjustments for missed days.
  • There will be a $10.00 late payment fee for each week that a payment is late.
  • A fee will be assessed for any returned check (based on bank fee charged to the school).
  • Absences:
  • If your child is in school but not attending the After School Program, a written note is needed. School regulations require that a student’s teacher be notified in writing if there is a change in the student’s normal dismissal route. The After School Program is considered a dismissal route. There are no refunds to students who are absent.
  • Pick Up:
  • Only an adult named on the registration form may pick up your child. This person must be 18 years of age or older and must provide identification.

Franklin Towne Charter Elementary School
After School Program

2018-2019 Registration Form

NO STUDENT WILL BE ADMITTED TO THE AFTER SCHOOL PROGRAM UNTIL ALL NECESSARY FORMS AND FEES HAVE BEEN RETURNED AND PAID.

Student # 1 name: ______Date of Birth: ______Grade: ______

Student # 2 name:______Date of Birth:______Grade: ______

Student #3 name: ______Date of Birth:______Grade:______

Address: ______Zip Code:______Home Phone: ______

Pickup time: 4:30 PM ______5:45 PM ______

Names of Persons authorized to pick up your child/children:

Mother/Guardian: ______Work phone: ______

Cell number: ______

Father/Guardian: ______Work phone: ______

Cell number: ______

Name:______Relationship to student: ______

Home phone: ______Cell number: ______Work: ______

(Alternate person must be 18 years of age or older and provide ID upon pick up.)

Special Instructions:

Homework: 30 minutes is allotted for homework grades 1 to 8 only. Do you want your child to do homework during ASP? Yes____ No ____

Does your child have any medical problems that the After School Program staff should be aware of? Yes ____ No ____ If yes please explain ______

______.

Will your child need medication during the After School Program hours? Yes ___ No ___

If yes, written parental consent and physician’s orders are both needed. Please contact the school nurse for the appropriate medication form.

In the event of serious illness or accident, I wish my child to be taken to the nearest emergency hospital?

Yes ____ No____ Special instructions if any: ______

In the event of minor injury (cut, scrapes, abrasions):

I give the After School Program staff at Franklin Towne Charter Elementary School permission to treat my child/dren for minor injuries such as cuts, scrapes, abrasions. Procedures for treatment will be taken from the guidelines of the American Medical Association First Aid Guide book which will be at the After School Program location. Parents will be notified if first aid is applied.

Signature of parent/guardian: ______Date: ______

Student Medical Information:

Doctor Name: ______Telephone Number: ______

Address: ______

Primary Insurance Carrier:______

Name of Insured: ______

Policy or group number: ______

Special emergency instructions to be followed: ______

______

I agree to abide by the payment policies described on the information form.

Signature of parent: ______Date: ______

Registration fee: $35.00 per family due at the time of registration.