EmailMeForm
Augusta Troup - After School Program 2026/27
Nina 203 589 8464
How many Children are Attending?
*
1 Child Only
2 Children
3 Children
Parent Name:
*
Parent Phone Number:
*
Parent Email Address:
*
CHILD(REN)
Childs Name:
*
Second Childs Name:
if applicable
Third Childs Name:
if applicable
School Name:
*
Grade(s):
*
PAYMENT OPTION
Please see the Payment Options Below
*
Please select
1 Child / Weekly / $20 a week
2 Children / Weekly / $40 a week
3 Children / Weekly / $60 a week
1 Child / Monthly / based on $80 per month
2 Children / Monthly / based on $160 per month
3 Children / Monthly / based on $240 per month
Weekly or Monthly
Please type the WEEK or MONTH you will be Paying For?
Example:
- Weekly: Monday 21st - Friday Sep 25th
- Monthly: October 2026
INSURANCE
Do you need ALM Sports Insurance for the month?
*
Please select
Yes (for the Month) - I need ALM Insurance as Primary
No - I'll use my own Insurance as Primary
If Yes, it will be an additional $20 per month for the Family
If No, your child must have proof of Primary Insurance
AGREEMENT
I agree there will be a $10 Late Fee after 6:00pm pick up
*
Yes, I agree.
Please out need to leave the facility after 6:00pm - if not we will be charged the additional fees which will need to be passed on to parents.
$10 fee after 10 minutes and then $1 a minute after.
I have read and agree to the Terms of Service
*
Yes, I agree.
If your child is covered by a private insurance, you must provide us with proof of your child’s insurance coverage. If your child is not We offer this through our ALM Insurers at a cost of $10.00 per week per family. I give consent for my child to take part in the activity and consent to emergency treatment as necessary. I accept that the organizers and their employees are not under any liability whatsoever in respect of injury, loss or damage whilst on the transportation and After School Program, other than imposed by law. I also allow ALM Sports to take photos for advertising and promoting purposes only; if you do not want your childs photo to be taken please email admin@almsports.com. You also agree that your cell number and email address will be used for direct communication, advertising and promotion of ALM Sports only - if you do not want any sms or email communication please email us admin@almsports.com.I confirm that my personal insurance is correct and bears responsibility in case of accidents. I confirm that I am legally entitled to give this consent and understand all payments received are non-refundable.
I Understand that this Fee is Non-Refundable
*
Yes, I agree.
Total
$1.10
