NORSECare Interest Form 22-23

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Welcome to NORSECare, our new after-school childcare program! NORSECare is available Wednesdays 1:00-3:30, and Monday/Tuesday/Wednesday/Thursday from 3:30-5:30.

Hours for NORSECare will be:

Wednesday 1:00-3:25 (no tuition, *near capacity*)

Monday 3:25-5:30

Tuesday 3:25-5:30

Wednesday 3:25-5:30

Thursday 3:25-5:30

Full time 4-day care tuition is $500/semester or $150/month. Reduced rates are available for part-time care on only 1, 2, or 3 days per week.

All enrollments are required to pay a $50/family registration fee.

Please fill out this form to request a registration packet, or stop by our Elementary School office. NORSECare is limited to students in grades K-5.

This form lets us know to send a registration packet home with your child.

Filling out this form does not guarantee a spot in NORSECare. By checking the box below, you indicate that you understand that your enrollment is not complete.

I understand that my child is not yet enrolled in NORSECare.

Parent/Guardian Last Name *

Parent/Guardian First Name *

Please list your students/grade levels interested in NORSECare enrollment. *

Parent/Guardian Phone Number *

Parent/Guardian Email *

I am interested in: *

*Nearly Full:* Care on Wednesdays from 1:00 early release to 3:25 pm

After-School care on Wednesdays from 3:25 to 5:30 pm

After-School care on Mondays, Tuesdays, Thursday from 3:25 to 5:30 pm

Required

Do you have questions, concerns, or feedback for us at this point?

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