Lamplighters After School Program

Please complete a seperate form for each child.

Child's First Name *

Child's Last Name *

Grade: *

Best Contact Name and Phone Number For Emergencies During The Program *

Enrollment runs on a monthly basis (4 classes per session) and is priced at anywhere from $50 - $60 a month depending on the class (it comes out to $10-$15 per class). Please see below for pricing details.

Please be careful to pick up your child on time! There will be an additional late fee of $10 for every 10 minutes that you are late to pick up your child.

Remember, this is a pilot program and it’s our first time doing this-- we’re going to need your suggestions, feedback and help so that we can tweak and perfect this so that it could be even more amazing for next year!

After school programming will begin on Wednesday, May 23 and will run through Tuesday, June 19

I would like to register my child for the following electives: *

Current Total:

$0.00

** Contact Sara at Lamplighters to schedule your Cello sessions.

I understand that I must pay in advance for the entire month. There are no refunds or returns. *

Yes

I understand that I will be charged a late fee of $10 for every 10 minutes that I am late to pickup my child after the program ends. *

Yes

Please sign here *

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