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Request for After School Care 2024-25

- After School Care

2024-25 ASC APPLICATION AND NOTIFICATION

St. Vincent de Paul School will begin accepting applications for the 2024-25 school year on Friday, March 1, 2024. Applications must be submitted by March 15. All families will be notified no later than March 22^nd regarding their application status for the 2024-25 school year.
Application Form

Application Period March 1-15
This is an application, not a registration. This means that whether you are the first to apply or the last, all families will be given the same consideration. There is no fee to apply.

Notification No later than March 22
All families will be notified by the ASC Director Karen Harrer via email no later than March 22, 2024 regarding their application status for the upcoming 2024/25 school year.

Program Fees for the 2024/2025 School Year:
- Grades K–5: $21.00 per child/per day
- Grades 6–8: $13.00 per child/per day
- $35.00 Non-refundable registration fee
This is an application, not a confirmation of registration.
This means that whether you are first to apply or the last, all families will be given the same consideration. There is no fee to apply. Should your child(ren) be accepted, then a $35 registration fee will be billed to your Blackbaud Tuition Account.
The maximum number of form submissions has been reached. This form is currently not available.
- Number of students to apply REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Fall 2024 Grade REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
  
  Days Attending REQUIRED Mondays Tuesdays Wednesdays Thursdays Fridays Please fill out this field.
  
  Comments
  
  Food and Other Allergies Please enter valid data.
  
  Other Concerns
  
  If medications need to be given, please print, fill out, and return the permission form
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Fall 2024 Grade REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
  
  Days Attending REQUIRED Mondays Tuesdays Wednesdays Thursdays Fridays Please fill out this field.
  
  Comments
  
  Food and Other Allergies Please enter valid data.
  
  Other Concerns
  
  If medications need to be given, please print, fill out, and return the permission form
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Fall 2024 Grade REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
  
  Days Attending REQUIRED Mondays Tuesdays Wednesdays Thursdays Fridays Please fill out this field.
  
  Comments
  
  Food and Other Allergies Please enter valid data.
  
  Other Concerns
  
  If medications need to be given, please print, fill out, and return the permission form
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Fall 2024 Grade REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
  
  Days Attending REQUIRED Mondays Tuesdays Wednesdays Thursdays Fridays Please fill out this field.
  
  Comments
  
  Food and Other Allergies Please enter valid data.
  
  Other Concerns
  
  If medications need to be given, please print, fill out, and return the permission form
- Parent Information
  
  Please list which parent is to be called first Please enter valid data.
  
  Parent Name(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email address you prefer we use for communications REQUIRED Please fill out this field. Please enter an email address.
  
  Best telephone numbers to reach you between 1:45PM and 5:30PM Monday-Friday:
  
  Phone Number 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Phone Number 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Authorized Persons
  
  Names of all persons authorized to remove child from the SVDP After Care Program (other than parent or guardian)
  
  Name Please enter valid data.
  
  Name Please enter valid data.
  
  Name Please enter valid data.
  
  Name Please enter valid data.
- Not Authorized Persons
  
  Person(s) NOT AUTHORIZED to remove child from the SVDP After School Care Program
  
  Name Please enter valid data.
  
  Relationship Please enter valid data.
  
  Name Please enter valid data.
  
  Relationship Please enter valid data.
- I have read the After School Care Program Information (click to read and download)
  I Agree Please select this field.
- As legal guardian for my child(ren), I do hereby consent and authorize the St. Vincent de Paul After School Care Program to take any and all action including use of emergency services as the program may deem appropriate in the event that my child/ren should become ill or otherwise injured while under care of the St. Vincent de Paul After School Care Program.
- Signed (your name) REQUIRED Please fill out this field. Please enter valid data.
- I give permission to the St. Vincent de Paul After School Care Program to take photographs of my child and use them in Parish publications if they so desire
- Photograph Permission Yes No
Submit

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