2023 Summer Program Enrollment

- Childcare
  - Summer Program Enrollment
  - Change of Attendance / Status
Please complete the enrollment form and submit a $50 enrollment fee per family. After completing the enrollment form, you may pay online or make a check payable to St. Michael Childcare. Your enrollment fee does NOT apply towards your childcare fees.

A breakdown of Summer Childcare Fees can be found HERE.
ATTENDANCE AGREEMENT
The attendance agreement lists the options for attending St. Michael Childcare Center. Once your plan is chosen and you have signed your agreement, you will be responsible to pay the weekly childcare fees associated with the selections you have indicated. If your child is absent one or more days in any given week due to appointment, illness, or other various reasons, your weekly childcare payment will remain the same. Please give the childcare director 2 weeks notice of any attendance agreement changes. Changes to your agreement will require a new attendance agreement form. Parents must complete a “Change of Attendance Agreement” form before your child’s attendance status will be updated. It may take up to two weeks for all changes to be applied.

The maximum number of form submissions has been reached. This form is currently not available.
- Please complete one enrollment form per child along with a family enrollment fee of $50.
  
  Pay Enrollment Fee Here
- CHILD INFORMATION:
- Number of Children to Enroll REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade
- MOTHER/LEGAL GUARDIAN INFORMATION:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email - used for communication and billing purposes Please enter an email address.
- FATHER/LEGAL GUARDIAN INFORMATION:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email - used for communication and billing purposes Please enter an email address.
- SUMMER PROGRAM ATTENDANCE AGREEMENT:
- Please indicate the days in which your child(ren) will be attending St. Michael Childcare Center.
  
  Summer Program requires each child be enrolled for a minimum of 2 days per week.
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Additional Notes for Childcare
- Anticipated Start Date Maximum 40 characters Please enter valid data.
- Enrollment Fee - A $50.00 non refundable enrollment fee per family is due with enrollment form.
  
  Field Trip Fees - The field trip fee is $15.00 per child per trip attended. The center is closed during the time students and staff are away from the center. Field trip information will be posted in advance.
  
  Late Pick Up Fees - St. Michael Childcare Center closes at 6:00pm. Pickup between 6:00 pm – 6:15 pm will result in a $25 fee per occurrence. Pickup between 6:16 pm - 6:30 pm will result in a $50 fee per occurrence.
  
  If parents/guardians cannot be contacted and have not arrived by 6:15pm staff will begin calling names listed on the Emergency Card and ask emergency contacts to pick up the child(ren). Repetitive late pick up may result in termination from the program.
- Please click HERE to review the childcare fees associated with your selection.
- By checking the box below, you acknowledge that you have selected the day(s) and session(s) that your child(ren) will be attending St. Michael Childcare Center. You understand that you will be billed a minimum weekly fee equal to the selections made.
  I Agree Please select this field.
- Pay Enrollment Fee Here
Submit

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