After School Care Registration Form

Please fill out the information below to register your child for Afterschool Care for the 2025-2026 school year. There is a $30.00 registration fee per family that will be debited from your FACTS account on the 20th of September. Those that register after August 10th will also incur a $25.00 late registration fee. All ASC fees will be debited from your FACTS account on the 20th of each month.

1Family Information > 2Student Information > 3Emergency Contact > 4Signature
Family Name
Parent/Guardian 1 Name Parent/Guardian 1 Name First Last
Parent/Guardian 1 Cell Phone Parent/Guardian 1 Cell Phone - ### - ### ####
Parent/Guardian 1 Work Phone Parent/Guardian 1 Work Phone - ### - ### ####
Parent/Guardian 1 Email Address
Add a second parent to this form?

Add a second parent to this form? Yes No
Parent/Guardian 2 Name Parent/Guardian 2 Name First Last
Parent/Guardian 2 Cell Phone Parent/Guardian 2 Cell Phone - ### - ### ####
Parent/Guardian 2 Work Phone Parent/Guardian 2 Work Phone - ### - ### ####
Parent/Guardian 2 Email Address
Would you need your child(ren) to attend ASC on Noon dismissal days? Please note, ASC availability on Noon dismissal days is TBD depending on interest.

Would you need your child(ren) to attend ASC on Noon dismissal days? Please note, ASC availability on Noon dismissal days is TBD depending on interest. Yes No