Child's Name #1 *

First Name

Last Name

Child's Name #2

First Name

Last Name

Parent Name *

First Name

Last Name

How many days will your child/ren attend after-school? *

5 days: $1,800

4 days: $1,428

3 days: $1,170

2 days: $799

1 day: $400

Which days will your child attend? *

Monday

Tuesday

Wednesday

Thursday

Friday