Before and After Care Registration

Student(s) Name(s)(Required)

Student(s) Grade(s)(Required)

PK3's

PK4's

TK

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Before Care - Please indicate which days you will be using Before Care(Required)

Drop in as necessary

Will not be using Before Care

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

After Care - Please indicate which days you will be using After Care(Required)

Drop in as necessary

Will not be using After Care

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Cell Phone(Required)

Registration Fee(Required)

By checking this box I agree to pay a non-refundable $50 registration fee per family, payable via FACTS incidental payments.

Monthly Fee(Required)

By checking this box I agree to pay monthly for all Before and After Care services in accordance with the 2024-2025 fee schedule, and will make payments promptly via FACTS incidental payments.

Parent/Guardian Signature (please type)(Required)

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183 High Ridge Avenue
Ridgefield, CT 06877
203-438-7288

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