Before/After School Care
  • School's that Kid's Clubhouse Picks Up At:

    Cleveland Elementary
    Cleveland Middle
    Dixon Road Elementary
    McGee's Elementary
    McGee's Middle
    Polenta Elementary
    Westview Elementary
    Swift Creek Middle

    * Note - $10.00 Discount on the 2nd & 3rd Child
  • 1st Child & Information

    Fill out this information accurately for each child you would like to register.
  • / /
  • 2nd Child's Information

    Fill out this information accurately for each child you would like to register.
  • / /
  • 3rd Child's Information

    Fill out this information accurately for each child you would like to register.
  • / /
  • Parent and Emergency Information

    Fill out the following information accurately to provide a way for us to reach you in case of emergency.
  • - -
  • - -
  • - -
  • - -
  • - -
  • - -
  • Signature of Parent
  • - -
  • Type your name here authorizing us to draft your weekly fee from the listed bank account each week on Monday.
  • Type the name of the bank you would like your automatic draft to come from.
  • Type the primary bank account holder's full name
  • Type your bank routing number
  • Type your bank checking account number
  • Type your name here authorizing us to charge your credit card on Tuesday if your automatic bank draft is unsuccessful on Monday, along with a $5 late fee.
  • Type your credit card number here (Visa or Mastercard Only)
  • Type 3 digit code on back of card
  • Type Visa or Mastercard
  • Type Expiration date
  • Type zip code card is billed to
  • Type Name on card