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5 O'Clock Flex Application

This program is only open to children enrolled in a separate club at BPCS After school that dismisses at 5pm. 

Child's Profile

Does your child have any allergies?
If so, does your child carry an Epi-pen?

Enrollment

Select your enrollment
Select the days of the week your child will be attending the program
Which Club will they entering from?

Guardians

As Guardian #1, please list the main contact person for things related to the daily routine of your child.

Authorized Adults

Please, list people different from Guardian #1 or #2. They will be authorized for pick-up and to contact in case of emergency if Guardian #1 or #2 cannot be reached. 

Terms & Permissions

- I understand that late payments will be assessed a $25 fee. If your payments fall more than 2 months behind, your child may lose their space in the program.

- I may submit a schedule change using the Schedule Change Request Form provided space is available. For an increase in days, payment is due for the increase in tuition fees upon registration. For families who have enrolled in the payment plan, additional tuition fees will be added to your payment plan. Written notice of 60-days must be given for a decrease in enrollment. 

- A $35 NSF fee will be assessed if my check is returned by the bank. If I have 2 NSF checks within a 6 month period, I will be required to pay by Certified Check, money order, or credit card. 

- I understand that I must pick my child up on time at dismissal. Should I arrive late, I will be assessed late fees as outlined in the Enrollment Guide payable the following payment date. ​​

- I have read and understand the head lice policy included in the Enrollment Guide and will report lice infestation of any member of my family to the director immediately.  

- I have read and understand the COVID-19 Addendum & Safety Guidelines outlined by  Afterschool Adventures. I will comply with all screening, health checks, daily reporting, and safety policies as required. 

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