Before Care and After Care Form Extended Care Hours & Rates Before Care 8:00–9:00 AM • $50/week Stay & Play 3:00–4:00 PM • $60/week After Care 3:00–6:00 PM • $150/week Extended care must be added one week in advance using the payment form. Cancellations less than one week in advance are not refundable. Click here to add Stay & Play Camper #1 Camper #1 Name First Name Last Name Before Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 After Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 Camper #2 Camper #2 Name First Name Last Name Before Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 After Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 Camper #3 Camper #3 Name First Name Last Name Before Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 After Care FULL SESSION 1 (June 15-June 19)FULL SESSION 2 (June 22-July 2)FULL SESSION 3 (July 6-July17)FULL SESSION 4 (July 20-July 31)Session 1- Monday, June 15Session 1- Tuesday, June 16Session 1- Wednesday, June 17Session 1- Thursday, June 18Session 1- Friday, June 19Session 2- Monday, June 22Session 2- Tuesday, June 23Session 2- Wednesday, June 24Session 2- Thursday, June 25Session 2- Friday, June 26Session 2- Monday, June 29Session 2- Tuesday, June 30Session 2- Wednesday, July 1Session 2- Thursday, July 2Session 3- Monday, July 6Session 3- Tuesday, July 7Session 3- Wednesday, July 8Session 3- Thursday, July 9Session 3- Friday, July 10Session 3- Monday, July 13Session 3- Tuesday, July 14Session 3- Wednesday, July 15Session 3- Thursday, July 16Session 3- Friday, July 17Session 4- Monday, July 20Session 4- Tuesday, July 21Session 4- Wednesday, July 22Session 4- Thursday, July 23Session 4- Friday, July 24Session 4- Monday, July 27Session 4- Tuesday, July 28Session 4- Wednesday, July 29Session 4- Thursday, July 30Session 4- Friday, July 31 Total Amount you will be charged today $0.00 USD Processing information Parents Name First Name Last Name Phone Number Area Code Phone Number E-mail Payment Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearBilling 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