Early Arrival, Late Dismissal, and Stay & Play Form Parent's Name* First Last Parent's Email* Child's Name* First Last Child's Grade*---Little AcornsPre-PrimaryPrimaryFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeEnrollment Year*Please specify the year that you are signing up for EA/LD/SP services. ---2023-20242024-2025Early Arrival / Late Dismissal — Select TrimestersSelect the trimesters you wish to purchase Early Arrival / Late Dismissal services for. Available for all grade levels. Trimester 1 Trimester 2 Trimester 3 Stay & Play — Select TrimestersSelect the trimesters you wish to purchase Stay & Play services for. Little Acorns, Pre-Primary, and Primary only. Trimester 1 Trimester 2 Trimester 3 How do you wish to be billed for Stay & Play services?*Regardless of which option is chosen, Stay & Play will still be charged for a full trimester. However, choosing "Per Month" will separate the total trimester billing, dividing it by each month in the trimester. Per Trimester Per Month Trimester 1Early Arrival T1$45.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Late Dismissal T1$76.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Stay & Play T1$255.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Early Arrival — Total for T1* Price: $0.00 Late Dismissal — Total for T1* Price: $0.00 Stay & Play — Total for T1* Price: $0.00 Stay & Play — Monthly Rate for T1This is a sample of the monthly cost. The total per trimester remains the same.Trimester 2Early Arrival T2$45.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Late Dismissal T2$76.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Stay & Play T2$255.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Early Arrival — Total for T2* Price: $0.00 Late Dismissal — Total for T2* Price: $0.00 Stay & Play — Total for T2* Price: $0.00 Stay & Play — Monthly Rate for T2This is a sample of the monthly cost. The total per trimester remains the same.Trimester 3Early Arrival T3$45.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Late Dismissal T3$76.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Stay & Play T3$255.00 per day Monday Tuesday Wednesday Thursday Friday HiddenMonday x1*HiddenTuesday x1*HiddenWednesday x1*HiddenThursday x1*HiddenFriday x1*Early Arrival — Total for T3* Price: $0.00 Late Dismissal — Total for T3* Price: $0.00 Stay & Play — Total for T3* Price: $0.00 Stay & Play — Monthly Rate for T3This is a sample of the monthly cost. The total per trimester remains the same.All Trimester TotalsEarly Arrival — Total for all TrimestersLate Dismissal — Total for all TrimestersStay & Play — Total for all TrimestersWould you like to authorize any other people to pick up your child from Late Dismissal?* Yes No The following people are authorized to pick up my child from Late Dismissal*Please list up to four (4) people. You may add lines by clicking the "+" or remove them by clicking the "-". First NameLast NameRelation Policy Agreement*Please read the Early Arrival, Late Dismissal, and Stay & Play Policy and check to signify that you accept it. I understand the policies pertaining to the Early Arrival, Late Dismissal, and Stay & Play programs and agree to abide by them. Total $0.00 Please note that this form does not process any payment, your charges will be billed to your FACTS Tuition account.CommentsThis field is for validation purposes and should be left unchanged.
