Before and After Care Registration Form

Student Name:*

Type of Care

Before Care Only 7:30 am – 8:30 am
After Care Only (from end of school to 6 pm)
Both Before and After Care

Grade:*

Number of Days*

Select the number of days per week to register for After Care.

1 day per week
2 days per week
3 days per week
4 days per week
5 days per week

Days of Week*

Select the days of the week

Monday
Tuesday
Wednesday
Thursday
Friday

Parent Signature*

All payments will be billed through TADS on a monthly basis. By pressing the submit button, I verify that this is my digital signature. I understand that if I pick up my child after 6 pm, I will be charged $1.00 per minute for each minute I’m late. I also understand that I will be billed for all after care charges through TADS on a monthly basis. I agree to pay all tuition and related charges as they become due. Failure to pay will result in cancellation of service for my child/children and Tarbiyah Academy may purse all legal remedies to collect any outstanding and unpaid tuition and charges.

Date*

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