CHRIST EPISCOPAL SCHOOL

EXTENDED DAY REGISTRATION FORM – 2026-27

STUDENT’S NAME:  __________________________________________        GRADE:  __________

ADDRESS: _______________________________________________HOME PHONE #____________

MOM’S NAME:  _______________________ WORK #: ______________  CELL #: _______________

DAD’S NAME: ________________________ WORK #: ______________  CELL #: _______________ 

EARLY CHILDCARE EXTENDED DAY FOR CHILDREN ENROLLED IN PK-3 AND PK-4

                                     Check Desired Number of Days per Week 

Check

Late Pre-K Pick-up Fees:

11:40 am - 12:00 pm Flat Rate of $5.00 each day.

Drop-In Fee:

12:00 pm - 5:30 pm Flat Rate of $20.00 each day. (No pro-rating for earlier pick-up.)

(When space is available)

A fee of $5.00 will be added for each ten-minute period past the 5:30 pm pick-up time.

EXTENDED DAY:  KINDERGARTEN THROUGH GRADE 5

                                    Check Desired Number of Days per Week 

3:00 p.m. – 5:30 p.m.      

______   5 days per week                            $ 125.00 per month

______   3 days per week                            $   85.00 per month

Late (K-5th) Pick-up Fees:

3:10 pm - 3:30 pm Flat Rate of $5.00 each day.

Drop-In Fee:

3:30 pm - 5:30 pm Flat Rate of $20.00 each day. (No pro-rating for earlier pick-up.)

(When space is available)

A fee of $5.00 will be added for each ten-minute period past the 5:30 pm pick-up time.

Important Notice:

I understand that the payments for this program are due by the 5th of each month from August 2026 (mid– Aug.) through May 2027.  The August monthly fee will be prorated off the regular amount and the December payment will be prorated ½ of the usual fee.  Fees for all other months will remain as stated above regardless of number of attendance days.  If the account falls in to arrears, the privilege of attending this program will be denied until the account is current.  I also understand that all Aftercare Programs are closed during school holidays and dismiss early on early dismissal days. An additional late fee of $10.00 will be assessed for this program after the 15th of the month. (Sept.-May)

____________________________________________________________                 _________________________________

Parent Signature                           Date