COOL KIDS CLUB AFTER SCHOOL PROGRAM REGISTRATION FORM 2019-2020

Cool Kids After School Program in collaboration with Frank D. Parent School is a Before and After School Program for Homework-Enrichment Activities and Recreation.

ALL MONTHLY SESSION PAYMENTS MUST BE RECEIVED BEFORE YOUR CHILD IS PICKED UP OR ATTENDS THE AFTERSCHOOL PROGRAM. FEES ARE BASED ON CONSECUTIVE MONTHLY ENROLLMENT. IF THERE IS A BREAK IN MONTHLY ENROLLMENT THEN A RE-REGISTRATION FEE OF $50 IS APPLIED TO RESUME ENROLLMENT.

NEEDS ASSESSMENT: CHECK all that apply *

BEFORE SCHOOL CHILD CARE (separate fees may apply) (call 747-200-5752 for more information) AFTER SCHOOL PROGRAM (2:00 PM-6:00 PM) HOMEWORK ASSISTANCE ENRICHMENT ONLY (separate fees may apply)

COOL KIDS AFTER SCHOOL PROGRAM (SESSION FEES MUST BE PAID PRIOR TO THE BEGINNING OF EVERY SESSION.)

Non-Refundable Registration Fee: $50 per student.

Student Information (One Student) Please Complete if registering One Student.

Number of Students

Last Name1

First Name1

Current Grade1

Teachers Name

Monthly Session Dates 1: August 19 - September 13 2: September 16-October 11 3: October 14-November 8 4: November 11 - December 6 5: December 9 - January 3 6: January 6 - January 31 7: February 3 - February 28

8: March 2 - March 27

9: March 30 - April 24

10: April 27 - May 22

11: May 25 - June 5

PLEASE SCROLL TO THE BOTTOM OF THE PAGE TO MY PRODUCTS AND SELECT THE REGISTRATION FOR THE NUMBER OF STUDENTS BEING REGISTERED AND THE WEEKS YOU ARE PAYING FOR ON ALL STUDENTS AND THEN PROCEED TO CHECK OUT ! Additional Weekly Payment Options Available contact: (747) 200-5752 or algebraclubcoolkids1@gmail.com for more information

ATTENTION: WE WILL BE CLOSED MONDAY NOVEMBER 25, 2019 - FRIDAY, NOVEMBER 29, 2019 IN OBSERVANCE OF THE THANKSGIVING HOLIDAY. ALSO FOR THE WINTER BREAK DECEMBER 23, 2019 - JANUARY 3, 2020.

School Last Attended1

Age1

Gender1

COOL KIDS CLUB Tee Shirt Size1

Guardian Information

First Name *

Last Name *

Billing Address *

City *

State *

Zip Code *

Relationship *

Guardian"s" E-mail Address *

Phone Number *

Cell Phone Number *

Work Phone

How Did You Hear About The Program.

COOL KIDS AFTER SCHOOL PROGRAM (SESSION FEES MUST BE PAID PRIOR TO THE BEGINNING OF EVERY SESSION.)

Non-Refundable Registration Fee: $50 per student.

Student Information (Two Students) Please Complete if registering Two Students.

Last Name2

First Name2

Current Grade2

Teachers Name

School Last Attended2

Age2

Gender2

COOL KIDS CLUB Tee Shirt Size2

COOL KIDS AFTER SCHOOL PROGRAM (SESSION FEES MUST BE PAID PRIOR TO THE BEGINNING OF EVERY SESSION.)

Non-Refundable Registration Fee: $50 per student

Student Information (Three Students) Please Complete if registering Three Students.

Last Name3

First Name3

Current Grade3

Teachers Name

School Last Attended3

Age3

Gender3

COOL KIDS CLUB Tee Shirt Size3

MY PRODUCTS - Please Select the Correct Number of Students that are being Registered Today! PROCEED TO CHECK OUT! ALL SESSION FEES MUST BE PAID MONTHLY - *

Non-Refundable Registration Fee 1 Student $ 50.00

Non-Refundable Registration Fee 2 Students $ 100.00

Non-Refundable Registration Fee 3 Students $ 150.00

Session 1-After School Care Monthly Fee 1-Student $ 225.00

Session 1-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 1-After School Care Monthly Fee (SAVE $200)-2-Students $ 250.00

Session 1-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 1-After School Care Monthly Fee 3-Students $ 270.00

Session 1-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 2-After School Care Monthly Fee 1-Student $ 225.00

Session 2-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 2-After School Care Monthly Fee 2-Students $ 250.00

Session 2-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 2-After School Care Monthly Fee 3-Students $ 270.00

Session 2-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 3-After School Care Monthly Fee 1-Student $ 225.00

Session 3-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 3-After School Care Monthly Fee 2-Students $ 250.00

Session 3-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 3-After School Care Monthly Fee 3-Students $ 270.00

Session 3-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 4-After School Care Monthly Fee 1-Student $ 225.00

Session 4-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 4-After School Care Monthly Fee 2 Students $ 250.00

Session 4-Before and After School Care Fee 2-Students $ 275.00

Session 4-After School Care Monthly Fee 3 Students $ 270.00

Session 4-Before and After School Care Monthly Fee 3 Students $ 295.00

Session 5-After School Care Monthly Fee 1-Student $ 225.00

Session 5-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 5-After School Care Monthly Fee 2-Students $ 250.00

Session 5-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 5-After School Care Monthly Fee 3-Students $ 270.00

Session 5-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 6-After School Care Monthly Fee 1-Student $ 225.00

Session 6-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 6-After School Care Monthly Fee 2-Students $ 250.00

Session 6-Before and After School Care Monthly Fee 2 Students $ 275.00

Session 6-After School Care Monthly Fee 3-Students $ 270.00

Session 6-Before and After Care Monthly Fee 3-Students $ 295.00

Session 7-After School Care Monthly Fee 1-Student $ 225.00

Session 7-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 7-After School Care Monthly Fee 2-Students $ 250.00

Session 7-Before and After School Care Fee 2-Students $ 275.00

Session 7-After School Care Monthly Fee 3-Students $ 270.00

Session 7-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 8-After School Care Monthly Fee 1-Student $ 225.00

Session 8-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 8-After School Care Monthly Fee 2-Students $ 250.00

Session 8-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 8-After School Care Monthly Fee 3-Students $ 270.00

Session 8-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 9-After School Care Monthly Fee 1-Student $ 225.00

Session 9-Before and After School Care Monthly Fee 1-Student $ 250.00

Session 9-After School Care Monthly Fee 2-Students $ 250.00

Session 9-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 9-After School Care Monthly Fee 3-Students $ 270.00

Session 9-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 10-After School Care Monthly Fee 1-Student $ 225.00

Session 10-Before and After School Care Fee 1-Student $ 250.00

Session 10-After School Care Monthly Fee 2-Students $ 250.00

Session 10-Before and After School Care Monthly Fee 2-Students $ 275.00

Session 10-After School Care Monthly Fee 3-Students $ 270.00

Session 10-Before and After School Care Monthly Fee 3-Students $ 295.00

Session 11-After School Care Monthly Fee 1-Student $ 112.50

Session 11-Before and After School Care Monthly Fee 1-Student $ 137.50

Session 11-After School Care Monthly Fee 2-Students $ 125.00

Session 11-Before and After School Care Monthly Fee 2-Students $ 150.00

Session 11-After School Care Monthly Fee 3-Students $ 135.00

Session 11-Before After School Care Monthly Fee 3-Students $ 160.00

For Additional Payment Options Available. Please contact Administrator algebraclubcoolkids1@gmail.com

747-200-5752