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