Extended Program Payment

Please use student's first and last name.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Email REQUIRED Please fill out this field. Please enter an email address.

Please select an option below (ex: pay fee by day, month, or invoice):

Extended Care BEFORE care 40.0 – daily fee BEFORE care 225.0 – Unlimited Monthly before care

Multiple Care Days

This number indicates how many care days you are paying for (ex: 1, 2, 3, etc.)

Please enter an integer (number).

Extended AFTER Care By Month 40.0 – UPK-one hour AFTER care 50.0 – UPK-unlimited hours per day- AFTER school 350.0 – UPK-unlimited care monthly up to ONE HOUR per day 400.0 – UPK-unlimited hours and days per month 30.0 – N-8th- one hour of AFTER care per day 35.0 – N-8-unlimited hours per day- AFTER school 325.0 – N-8-unlimited care monthly up to ONE HOUR per day 350.0 – N-8--unlimited hours and days per month

Multiple Monthly Care

This number indicates how many care months you are paying for (ex: 1, 2, 3, etc.)

Please enter an integer (number).

If you received an invoice from Mrs. Carroll:

Amount Billed as Per Invoice $ Please enter a positive decimal.

Notes

I Agree Please select this field.