Before and After Care Emergency Drop In Form

Date of Service:
Parent’s Name:
Parent Email:
Child’s Name:
Grade:
Type of service:
  

Before Care

  

After Care

  

Before and After Care

Emergency care that is scheduled with 24 hours’ notice from date and time of request will be charged the hourly rate of $15.00.

Emergency care that is scheduled with less than 24 hours’ notice will be charged $20.00 per hour.

Payment is due in full at the time of service or by the next business day to avoid a $25.00 late fee, that is due at the time of payment.

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