1st Semester Registration 2022/2023 CARE Program JA-J4 and M1-M2

Dear Parents, There are limited spaces available in the Care Program. Priority is given to Full-Time registrants.

*Required

Student Information

Student LAST & FIRST Name (No Nickname)required

Please select:- 1st Semester - September through January*

Discounted Flat Fee - Full Time - $3200 - No adjustments / 1st Semester MONDAYS only - $800 /1st Semester TUESDAYS only - $800 /1st Semester WEDNESDAYS only - $800 /1st Semester THURSDAYS only - $800 /1st Semester FRIDAYS only - $800 /1st Semester EMERGENCY / DAY $75

Student ID Numberrequired

GRADE (2022/2023)

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Parent Emailrequired

Emergency Contact #1

Emergency Contact Personrequired

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

Emergency Contact Relationrequired

Emergency Contact Phonerequired

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

Emergency Contact #2

Emergency Contact Person 2required

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

Emergency Contact Relation 2required

Emergency Contact Phone 2required

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 flat rate $3,200 per Semester - No adjustments.

- 1st Semester ==> September through January

- 2nd Semester==> February through June

Limited space - priority to Full-Time registrations

Please note: Credit/Adjustment do not apply to the Flat Fee Care Program charges for activities outside of the responsibility of the Office of Special Programs (such as sports, music, tutoring, play rehearsals, performances, languages, trips etc.)

Special Needs

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