2021-2022 Extended Day Drop-in Care

Student First Namerequired

Student Last Namerequired

Graderequired

Parent/Guardian Namerequired

Parent/Guardian Phone Numberrequired

Parent/Guardian Email Addressrequired

Alternate Emergency Contact Name:required

Alternate Emergency Contact Phone Number:required

Medications:

Allergies and/or dietary restrictions:

Drop-in Care Daterequired (mm/dd/yyyy)

Our after-school program begins after regular day dismissal and will include time for outdoor play, snacks (provided by Westside), homework/study hall, and free choice activities. We ask that you register no later than noon on the day of care so that we may staff the program accordingly. The fee is $40/day; late registration may incur an additional $10.00 late fee.

Preschool and pre-Kindergarten students should be picked up by 5:00pm at the Preschool Building; Kindergarten through eighth grade students should be picked up by 5:30pm at the front entrance of the Main Building. Adults will be asked to sign their students out each day. All students must be picked up no later than closing time. Services provided after EDP closes are charged at $2.00 per minute.

For questions, contact childcare@westsideschool.org.

Please note that we do not accept payment via AMEX.

**Preschool and Pre-Kindergarten EDP is currently full; there are no drop-in spots available. Contact aftercare@westsideschool.org for assistance.

Pay Online Via Credit Card ($40)

Parent/Guardian Signaturerequired