* Required

2nd Semester Registration 2020/2021 CARE Program

Dear Parents, Please note that due to the pandemic, for the safety of the children, in compliance with social distancing measures, space is limited. Priority is given to Full-Time registrants.

*Required

Student Information

Students First/Last Name*required

Please select 1 (this will help us accurately keep track of number of registrants)*required

Student Grade*

JA Everyday - 2nd Semester - $3000 J1 Everyday - 2nd Semester - $3000 J2 $1500 By Group Schedule / semester J3 $1500 By Group Schedule / semester J4 $1500 By Group Schedule / semester M1 $1500 By Group Schedule r M2 $1500 By Group Schedule

Student ID Number*required

Please indicate the student's homeroom teacher (if known)

Address 1*required

Address 2

City*required

State*required

Zip*required

Parent Email*required

Emergency Contact #1

Emergency Contact Person*required

Please enter the name of the person available between 2:30 - 6:00pm.

Emergency Contact Relation*required

Emergency Contact Phone*required

Please enter the name of the person available between 2:30 - 6:00pm.

Emergency Contact #2

Emergency Contact Person 2*required

Please enter the name of the person available between 2:30 - 6:00pm.

Emergency Contact Relation 2*required

Emergency Contact Phone 2*required

Please enter the name of the person available between 2:30 - 6:00pm.

Registration Options

UNIS Staff Parent?

Yes No

- Registration Fees $30

- Full-Time: Discounted rate flat fee $3,000 per Semester. Approximately $12/hour. No adjustments.

- 1st Semester ==> September - January

- 2nd Semester==> February - June

Limited space - priority to Full-Time registrations

Special Needs

Please write in and special needs, allergies, restriction, or any concerns you may have

Please send a confirmation email to the address below*: