Add Before/After Care

Before Care and After Care Form
Available hours for Extended Care
Before Care: 8:00 – 9:00 am
After Care: 3:00 – 6:00 pm

Before Care: $10.00 per day (per child)
After Care: $20.00 per day (per child)

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Extended care can be added at any time by paying on this form a week in advance.
Cancellations less than one week in advance will not be reimbursed.
Camper #1
Campers Name (1)
First Name Last Name
Before Care List Dates (#1)
Total Amount of days you need Before care (#1)*
please click on the correct number
After Care List Dates (#1)
Total Amount of days you need After Care (#1)*
please click on the correct number
Camper #2
Campers Name (#2)
First Name Last Name
Before Care List Dates (#2)
Total Amount of days you need Before care (#1)*
please click on the correct number
After Care List Dates (#2)
Total Amount of days you need After Care (#2)*
please click on the correct number
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 Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total Amount you will be charged today

$0.00 USD
If you are having any difficulty processing your online payment,
please contact the office at 440 498 9533 or email: [email protected]
$50 USD$75 USD$100 USD
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Before Care and After Care Form