18851 Oak Center Dr
Ft Myers , FL 33967
(239) 319-0522
M - F 8:00am - 4:00pm
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Our Schools
Ft. Myers
Clearwater
About Us
Student Life
Meet The Staff
News
Image Gallery
Governing Board
Board Minutes
Olympian Aftercare
After School Program
Registration Form
Student’s Information
First Name
*
Last Name
*
m
Birthday
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Grade
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VPK- Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Does this student have any allergies?
Yes
No
If Yes, Please Specify
Which 3 days will the child be attending after care
Monday
Tuesday
Wednesday
Thursday
Friday
Parent’s Information
Mother’s First Name
*
Mother’s Last Name
*
Phone Number
*
Email Address:
*
Father’s First Name
*
Father’s Last Name
*
Phone Number
*
Email Address:
Any special needs or notes you want us to consider?
Designated pickup/ Emergency Contacts
Enter ALL ( Including Parents) names that will be allowed to pick up student
*Any person NOT on this list will not be able to pickup student
First Name
*
Last Name
*
Phone Number
*
First Name
*
Last Name
*
Phone Number
*
First Name
Last Name
Phone Number
First Name
Last Name
Phone Number
First Name
Last Name
Phone Number
Terms & Conditions
·Child must be picked up by 6:00pm daily- or $10 fee will be applied for late pick up
· NO ONE other than who is on the designated pick up list may pick up child, and they must have photo ID at time of pick up.
Pick up will be in Cafeteria, East side door by portables
·Parents MUST call 727-298-2718 x506 by 2:00pm to notify us if their child will NOT be going to after care that day. If they do not call we will consider the child missing and will be calling all emergency contacts until we get confirmation child’s whereabouts.
VERY important to call if your child will not be going to after care that day.
·
Cancellation policy-
30 days written notice! If failure to provide proper notice then tuition will continue through that month of cancellation
· Tuition will continue through entire school year, even during times of school being closed for holidays. There will be Camps available at an additional discounted rate for after school children. ($15 extra per day + any field trip fees, on top of normal continuous tuition)
*
check here to acknowledge you read and agree to our terms & conditions
Signature of Parent or Legal Guardian ( Mouse or Finger )
*
Today’s Date
*