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Success Academy
Afterschool Adventures Application

Child's profile

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


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. 


Desired Enrollment
Select the days of the week your child will be attending the program

Terms & Permissions

-Afterschool Adventures requires payment in full or enrollment in our automatic monthly flex-payment program at the time of enrollment. Payment is due for your registered days despite your family’s attendance or scheduled closings. There are no refunds for afterschool tuition. If there is no 60-day written notice given prior to your departure from the program, the entire amount due for the remaining registered tuition through the end of the school year will be charged to the parent/guardian. Afterschool Adventures reserves the right to collect all fees due and any collection and/or legal fees will be charged to the parent in the event of debt collection and/or report said indebtedness to the credit bureau and/or military command. Afterschool Adventures runs as scheduled per your school’s annual calendar from September through June. 


- 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 Afterschool Adventures.

- 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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