Fay After School (FAS) - Extended Day Program amazonaws com

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Fay After School (FAS) - Extended Day Program

Registration Form Trimester 1 • September 3 - November 20, 2014

Please return this completed registration form to the Auxiliary Programs Office. All families who plan to attend Extended Day should fill out a new Registration Form each trimester. Extended Day offers: • A customized program calendar to meet your family’s needs. This Extended Day Program Calendar lists every day that the program will be in operation. Use the form to mark the days that you would like to sign up for the program. • Full Day: 3:00 – 6:00 p.m., or Half Day: 3:00- 4:30 p.m. or 4:30 – 6:00 p.m. (following a club) To sign up: Step 1: Fill out the Trimester 1 Extended Day Program Calendar. Choose half days or full days. Step 2: Fill out the registration information below. Add up the total number of half days and/or full days. Step 3: Drop-off your completed form to the Auxiliary Programs Office. Please note: • If you need to switch your reserved days from your Program Calendar, please email us at least 24 hours in advance, or you will be charged at the drop-in rate. • If you attend Extended Day on a day that is not reserved, you will be charged at the drop-in rate. • No portion of the reserved but unused days will be refunded, prorated, or applied to future trimesters. You can find all of the details you need on the school website at: www.fayschool.org/extended. Student Name Age

Grade

Homeroom

Parent/Guardian 1 Name

Parent/Guardian 2 Name

Parent/Guardian 1 Email

Parent/Guardian 2 Email

Parent/Guardian 1 Cell phone

Parent/Guardian 2 Cell phone

Extended Day Half Day • 3:00 – 4:30 p.m. or 4:30 – 6:00 p.m.

Total # of Half Days reserved: ______ × $20.00 per day = Total Half Day Tuition:

$ _____________

Extended Day Full Day • 3:00 – 6:00 p.m.

Total # of Full Days reserved: ______ × $34.00 per day = Total Full Day Tuition:

Total Tuition For Extended Day Trimester I:



$ _____________ $ _____________

Drop-in Rates: $38 per full day (3:00 – 6:00 p.m.); $25 per half day (3:00 – 4:30 p.m. OR 4:30 – 6:00 p.m.) Please note that half-day pick up after 4:35 p.m. results in a full-day charge. $30 late fee per 15 min. after 6:00 p.m. Fay School • 48 Main Street • Southborough, MA 01772 • 508.485.0100 • www.fayschool.org

Fay After School (FAS) - Extended Day Program

Registration Form Trimester 1 • September 3 - November 20, 2014

Student Name: _____________________________________________________________________________ Is your child registered for Clubs this trimester? If yes, please indicate the name of the Club below. If you are completing this form before Club registration opens, you may share this information with us at a later date. Mon______________ Tues_____________ Wed_____________ Thurs____________ Fri_______________

September 2014 Monday

¡ Half ¡ Half ¡ Half

8

¡ Full 15 ¡ Full 22 ¡ Full

Tuesday

¡ Half ¡ Half ¡ Half

9

¡ Full 16 ¡ Full 23 ¡ Full

Wednesday

Thursday

3

4

¡ Half ¡ Half ¡ Half ¡ Half

¡ Full 10 ¡ Full 17 ¡ Full 24 ¡ Full

¡ Half ¡ Half ¡ Half ¡ Half

¡ Full 11 ¡ Full 18 ¡ Full 25 ¡ Full

Friday

¡ Half ¡ Half ¡ Half ¡ Half

5

¡ Full 12 ¡ Full 19 ¡ Full 26 ¡ Full

October 2014 Monday

Tuesday

Wednesday

Thursday

29

30

1

2

¡ Half ¡ Half

¡ Full 6 ¡ Full

13 No School • No ED 20 Half Full

¡ ¡ Half

27

¡ ¡ Full

¡ Half ¡ Half ¡ Half ¡ Half ¡ Half

¡ Full 7 ¡ Full 14 ¡ Full 21 ¡ Full 28 ¡ Full

¡ Half ¡ Half ¡ Half ¡ Half ¡ Half

¡ Full 8 ¡ Full 15 ¡ Full 22 ¡ Full 29 ¡ Full

¡ Half ¡ Half ¡ Half ¡ Half ¡ Half

¡ Full 9 ¡ Full 16 ¡ Full 23 ¡ Full 30 ¡ Full

Friday

¡ Half ¡ Half ¡ Half ¡ Half ¡ Half

3

¡ Full 10 ¡ Full 17 ¡ Full 24 ¡ Full 31 ¡ Full

November 2014 Monday

¡ Half ¡ Half ¡ Half

3

¡ Full 10 ¡ Full 17 ¡ Full 24

Tuesday

¡ Half ¡ Half ¡ Half

4

¡ Full 11 ¡ Full 18 ¡ Full 25

Wednesday

¡ Half ¡ Half ¡ Half

5

¡ Full 12 ¡ Full 19 ¡ Full

Thursday

¡ Half ¡ Half ¡ Half

26 No School - Thanksgiving Vacation - No FAS

6

¡ Full 13 ¡ Full 20 ¡ Full 27

Friday

¡ Half ¡ Half

7

¡ Full 14 ¡ Full

21 Half 2:20 dismissal • NoFull FAS 28

Fay School • 48 Main Street • Southborough, MA 01772 • 508.485.0100 • www.fayschool.org