Early Arrival, Late Dismissal, and Stay & Play Form "*" indicates required fields Parent's Name* First Last Parent's Email* Child's Name* First Last Child's Grade*---Little AcornsPre-PrimaryPrimaryFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeEnrollment Year*Please specify the year that you are signing up for EA/LD/SP services. ---2024-20252025-2026Early Arrival / Late Dismissal — Select TrimestersSelect the trimesters you wish to purchase Early Arrival / Late Dismissal services for. Available for all grade levels. Trimester 1 Trimester 2 Trimester 3 Stay & Play — Select TrimestersSelect the trimesters you wish to purchase Stay & Play services for. Little Acorns, Pre-Primary, and Primary only. Trimester 1 Trimester 2 Trimester 3 How do you wish to be billed for Stay & Play services?*Regardless of which option is chosen, Stay & Play will still be charged for a full trimester. However, choosing "Per Month" will separate the total trimester billing, dividing it by each month in the trimester. Per Trimester Per Month Trimester 1Early Arrival T1$46.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Late Dismissal T1$78.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Stay & Play T1$270.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Early Arrival — Total for T1* Price: $0.00 Late Dismissal — Total for T1* Price: $0.00 Stay & Play — Total for T1* Price: $0.00 Stay & Play — Monthly Rate for T1This is a sample of the monthly cost. The total per trimester remains the same.Trimester 2Early Arrival T2$46.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Late Dismissal T2$78.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Stay & Play T2$270.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Early Arrival — Total for T2* Price: $0.00 Late Dismissal — Total for T2* Price: $0.00 Stay & Play — Total for T2* Price: $0.00 Stay & Play — Monthly Rate for T2This is a sample of the monthly cost. The total per trimester remains the same.Trimester 3Early Arrival T3$46.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Late Dismissal T3$78.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Stay & Play T3$270.00 per day Monday Tuesday Wednesday Thursday Friday This field is hidden when viewing the formMonday x1*This field is hidden when viewing the formTuesday x1*This field is hidden when viewing the formWednesday x1*This field is hidden when viewing the formThursday x1*This field is hidden when viewing the formFriday x1*Early Arrival — Total for T3* Price: $0.00 Late Dismissal — Total for T3* Price: $0.00 Stay & Play — Total for T3* Price: $0.00 Stay & Play — Monthly Rate for T3This is a sample of the monthly cost. The total per trimester remains the same.All Trimester TotalsEarly Arrival — Total for all TrimestersLate Dismissal — Total for all TrimestersStay & Play — Total for all TrimestersWould you like to authorize any other people to pick up your child from Late Dismissal?* Yes No The following people are authorized to pick up my child from Late Dismissal*Please list up to four (4) people. You may add lines by clicking the "+" or remove them by clicking the "-". First NameLast NameRelation Add RemovePolicy Agreement*Please read the Early Arrival, Late Dismissal, and Stay & Play Policy and check to signify that you accept it. I understand the policies pertaining to the Early Arrival, Late Dismissal, and Stay & Play programs and agree to abide by them. Total Please note that this form does not process any payment, your charges will be billed to your FACTS Tuition account.PhoneThis field is for validation purposes and should be left unchanged.
