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After School Program

- School Updates

Saint Lucys After-School Program provides children with a safe, caring environment
staffed by professional teachers. Children who have been in school all day need an
opportunity for different forms of recreation before concentrating on homework and other
academics. With this in mind, the program is organized with special times for individual and
group activities, outdoor playtime (weather permitting), arts/crafts, as well as an
opportunity each afternoon for homework, study and reading.

The philosophy, Christian values, and goals that permeate Saint Brendan School provide the
foundation for our After-School Program.

Pick up time is 6pm.
Please make sure to read carefully the Guidelines and Rates below
- After School Letter
- After School Rates
The maximum number of form submissions has been reached. This form is currently not available.
- Student Attending After School Program
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Siblings REQUIRED Please fill out this field.
- If yes, list child's name and grade Please enter valid data.
- Program Start Date REQUIRED Please fill out this field. Please enter a date.
- After School Status - Please refer to link above for plan rates REQUIRED Full Time - 6:00PM Option "1" Part Time - 4:30PM Option "2" Early Pick Up - 3:00PM Option "3" Please fill out this field.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Medical Condition
- Mother's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- If school cannot contact parent or legal guardian, list friends or relatives of legal age who may be called upon if your child is sick. Also include the name(s) of any person who has your permission to sign for the early release of your child.
- EMERGENCY CONTACTS' INFORMATION
- Contact #1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Contact #2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
- Contact #3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
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