Aftercare Registration

Student Name Required

Student Grade Required

Father's Phone Number Required

Mother's Phone Number Required

Emergency Contact authorized to 1) Pick up child 2) Be called in an emergency: (Must be other than parent's number) Required

Aftercare Options (Week of 5/23/22-5/27/22) Required

I understand that I will be charged $1 per minute per child if I pick up my child(ren) after 4:45pm on Monday-Thursday and after 3:00pm on Fridays Required I understand and agree

I understand the Aftercare Discipline Policy listed at www.uaftampa.org/aftercare Required I understand and agree

For the Weekly program, you must sign up in advance to get the weekly rate. For daily aftercare (including late students), fees must be paid on the same day. Unpaid charges will be added to your SMART Tuition account and will incur a late fee if not paid Required I understand and agree

Comments/Notes