724.741.1008
Extended Day Preschool Registration 2009-2010
Date
___________________________________________________
Child’s Name
___________________________________________________
Parent's Name ___________________________________________________
Phone Number or Email Address ___________________________________________________
All requests for extensions must be submitted in writing.
________________________________________________________________________
Please check
_____
Morning extension
8:00 AM – 9:00 AM
M T W
TH F
_____
Lunch extension
Noon – 1:00 PM
M T W TH
F
_____ Afternoon extension 4:00 PM – 5:00 PM M T W TH F
*Please note – Lunch extensions are only available to morning
students.
Is this a monthly or yearly extension?
_____
Monthly
_____ Yearly
If it is a monthly request, which month(s) do you want? ________________________
Fees:
Extension requests can be made on a monthly or yearly basis.
·
Monthly requests are $8.00 per child/per extension.
·
Yearly requests are $5.00 per child/per extension.
Extensions are billed according to actual class days in each month.
Families are expected to pay for billed extensions even if your child is absent.
Charges for extensions will be included on your monthly invoice.
A limited number of extensions are available.
For additional information, please contact a staff person.