Fay After School (FAS) - Extended Day Program
Fay After School (FAS) - Extended Day Program
Registration Form Trimester 2 • December 2, 2014 - March 5, 2015
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 2 • December 2, 2014 - March 5, 2015
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_______________
December 2014 Monday
¡ Half ¡ Half
8
¡ Full 15 ¡ Full
Tuesday
¡ Half ¡ Half ¡ Half
2
¡ Full 9 ¡ Full 16 ¡ Full
Wednesday
¡ Half ¡ Half ¡ Half
3
¡ Full 10 ¡ Full 17 ¡ Full
Thursday
¡ Half ¡ Half
4
¡ Full 11 ¡ Full
Friday
¡ Half ¡ Half
5
¡ Full 12 ¡ Full
18 No Extended Day
19 No Extended Day
Thursday
Friday
January 2015 Monday 5 No Extended Day 12 Half Full
¡
¡
19 FullNo Extended Day 26 Half Full
¡
¡
Tuesday
¡ Half ¡ Half ¡ Half ¡ Half
6
¡ Full 13 ¡ Full 20 ¡ Full 27 ¡ Full
Wednesday
¡ Half ¡ Half ¡ Half ¡ Half
7
¡ Full 14 ¡ Full 21 ¡ Full 28 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
8
¡ Full 15 ¡ Full 22 ¡ Full 29 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
9
¡ Full 16 ¡ Full 23 ¡ Full 30 ¡ Full
February 2015 Monday
Tuesday
Wednesday
Thursday
2
3
4
5
¡ Half ¡ Half
¡ Full 9 ¡ Full
16 No Extended Day 23 Half Full
¡
¡
¡ Half ¡ Half ¡ Half ¡ Half
¡ Full 10 ¡ Full 17 ¡ Full 24 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
¡ Full 11 ¡ Full 18 ¡ Full 25 ¡ Full
¡ Half
¡ Full
12 No Extended Day 19 Half Full
¡ ¡ Half
¡ 26 ¡ Full
Friday
¡ Half
6
¡ Full
13 No Extended Day 20 Half Full
¡
¡
27 No Extended Day
March 2015 Monday
¡ Half
2
¡ Full
Tuesday
¡ Half
3
¡ Full
Wednesday
¡ Half
4
¡ Full
Thursday
Friday
5
6 No Extended Day
¡ Half
¡ Full
Fay School • 48 Main Street • Southborough, MA 01772 • 508.485.0100 • www.fayschool.org
Registration Form Trimester 2 • December 2, 2014 - March 5, 2015
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 2 • December 2, 2014 - March 5, 2015
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_______________
December 2014 Monday
¡ Half ¡ Half
8
¡ Full 15 ¡ Full
Tuesday
¡ Half ¡ Half ¡ Half
2
¡ Full 9 ¡ Full 16 ¡ Full
Wednesday
¡ Half ¡ Half ¡ Half
3
¡ Full 10 ¡ Full 17 ¡ Full
Thursday
¡ Half ¡ Half
4
¡ Full 11 ¡ Full
Friday
¡ Half ¡ Half
5
¡ Full 12 ¡ Full
18 No Extended Day
19 No Extended Day
Thursday
Friday
January 2015 Monday 5 No Extended Day 12 Half Full
¡
¡
19 FullNo Extended Day 26 Half Full
¡
¡
Tuesday
¡ Half ¡ Half ¡ Half ¡ Half
6
¡ Full 13 ¡ Full 20 ¡ Full 27 ¡ Full
Wednesday
¡ Half ¡ Half ¡ Half ¡ Half
7
¡ Full 14 ¡ Full 21 ¡ Full 28 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
8
¡ Full 15 ¡ Full 22 ¡ Full 29 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
9
¡ Full 16 ¡ Full 23 ¡ Full 30 ¡ Full
February 2015 Monday
Tuesday
Wednesday
Thursday
2
3
4
5
¡ Half ¡ Half
¡ Full 9 ¡ Full
16 No Extended Day 23 Half Full
¡
¡
¡ Half ¡ Half ¡ Half ¡ Half
¡ Full 10 ¡ Full 17 ¡ Full 24 ¡ Full
¡ Half ¡ Half ¡ Half ¡ Half
¡ Full 11 ¡ Full 18 ¡ Full 25 ¡ Full
¡ Half
¡ Full
12 No Extended Day 19 Half Full
¡ ¡ Half
¡ 26 ¡ Full
Friday
¡ Half
6
¡ Full
13 No Extended Day 20 Half Full
¡
¡
27 No Extended Day
March 2015 Monday
¡ Half
2
¡ Full
Tuesday
¡ Half
3
¡ Full
Wednesday
¡ Half
4
¡ Full
Thursday
Friday
5
6 No Extended Day
¡ Half
¡ Full
Fay School • 48 Main Street • Southborough, MA 01772 • 508.485.0100 • www.fayschool.org
