All St. Clare Students: No School for all students BASC Care available from 7:00 am – 6:00 pm

BASC Care Options: 7:00 am – 12:30 pm $18.00 12:30 pm – 6:00 pm $18.00 7:00 am – 6:00 pm $30.00 10% 2^nd Child Discount!

ENROLLMENT DEADLINE IS 6:00PM ON WEDNESDAY, MAY 7^th 2008.

THIS INCLUDES ADAVANCED PAYMENT AND YOUR

COMPLETED ENROLLMENT FORM

LATE ENROLLMENT WILL NOT BE GUARANTEED AND WILL BE

SUBJECT TO STAFF AVAILIBILITY AND PLANNING.

CHILD’S NAME ________________________________Grade_____

CHILD’S NAME ______________________Grade_______(10% Discount)

CHILD’S NAME ______________________Grade_______(10% Discount)

Please check the appropriate box with the day and time your child will need care:

BASC Care Desired:	7:00 am – 12:30 pm Half Day	12:30 pm – 6:00 pm Half Day	7:00 am – 6:00 pm Full Day
Friday, May 9^th
Monday, May 12^th

**Please note that enrollment will not be processed unless the completed enrollment form and advanced payment for this date are submitted.

I authorize my child(ren) to participate in BASC program days and understand I am responsible for picking them up at the time designated above or scheduling care past this time if it is available.

PARENT PRINT NAME _____________________________________________

PARENT SIGNATURE __________________________ DATE ___________

Date Received: ____________ Staff Initials _________ Billing Initials ________

Payment:

• Cash Amount _____________
• Check Check # _____________ Amount _____________

We would like to show the movie Enchanted on Friday, May 9^th and Bee Movie on Monday, May 19^th during the afternoon session of the program days - both rated PG. In order to do so we need parents’ permission from each child in attendance!

I give permission for my child(ren), ____________________________, to watch the above movie(s) on May 9^th and/or May 19^th.

_____________________________________

Parent Signature