SIDWELL FRIENDS SCHOOL LOWER SCHOOL AFTER CARE PROGRAM CONTRACT 2009-2010 I wish to enroll my child(ren) in the 2009-2010 After Care Program. Student’s name Age/DOB Grade Days M T W Th F M T W Th F M T W Th F Annual Fee(s) ____________ ____________ ____________
_________________ ____________ ______ _________________ ____________ ______ _________________ ____________ ______ Guardian Information:
Guardian 1 Name:_______________________________________________________________ Address:______________________________________________________________________ Telephone: Home___________________ Work_________________ Cell__________________ Email: _______________________________________ (please print neatly, this email is used for all communication) Guardian 2 Name: ______________________________________________________________ Address:______________________________________________________________________ Telephone: Home___________________ Work _________________ Cell:_________________ Emergency Contact(s): Name:________________________________________________________________________ Telephone:_____________________________________________________________________ Names of any other persons to pick up children:_______________________________________ ______________________________________________________________________________ I agree to comply with the above terms, and accept the rules and regulations of Sidwell Friends School as stated in the current Handbook for Parents and Students and in this contract. Guardian:_____________________________ Date __________________________________ Guardian:_____________________________ Date __________________________________ (Both Guardians must sign, unless only one is the legal guardian) Return to: Sidwell Friends School, Lower School After Care Program, 3825 Wisconsin Avenue, N.W., Washington, D.C. 20016-2999 or fax 202-537-2483 by June 1, 2009.
I receive financial aid and would like to be considered for aid for the After School Program: Yes Signature Signature