Our Lady of Mercy Regional School 27685 Main Road PO Box 970 Cutchogue, New York 11935 631-734-5166 Fax 631-734-4266 BEFORE and AFTER CARE PROGRAM 2014 -2015 Our Lady of Mercy Regional School offers a before care program which will begin on Monday, September 8, 2014, from 7:30 until 8:30 a.m. It is unavailable on delayed openings, or on days that OLM is closed. Supervision is provided by school personnel at all times. If your child will be attending on a regular or random basis please send in the form below. If possible let us know, when registering, which days you will be using it. The aftercare program also begins Monday, September 8, 2013 from 3:00 until 5:30 p.m. At present the program is only offered on regular school days. It is not available on early dismissal days. Before care: $6 per day and an additional $3 per child for siblings before 8:30 am. After-care: $10 for any part of the first hour, $5 for each half hour (first child) $5 for any part of the first hour, $3 for each half hour (second child) IMPORTANT 1. This form must be completed before students are allowed to attend. It must be handed in by September 5th in order to attend on September 8th. 2. All children attending morning and afternoon care must be signed in, and signed out in the afternoon. 3. You will be charged $5.00 for every ten minutes you are late in picking up your child in the afternoon. The programs will be billed on the same invoice, payment is expected to be received promptly within 15 days of receiving the bill. If payment is not received after 30 days you may not be to participate in either program. Please fill in the form below, send it in or FAX (631)734 – 4266 on or before September 8th to the school. Child’s Name: _________________________________________Grade _____________________________ Child’s Name: _________________________________________Grade _____________________________ Child’s Name: _________________________________________Grade _____________________________ Check the boxes that apply: Morning Care Only After Care Only Both Morning and After Care Morning: Monday Tuesday Wednesday Thursday Friday After Care: Monday Tuesday Wednesday Thursday Friday Parent Names: __________________________________________________________ Mother Cell #_________________________Father Cell #________________________ Emergency Contact: ____________________Emergency Cell#____________________