Afterschool Care / Enrollment | Little Blessings Academy

Application for Afterschool Care

Parent/Guardian's First and Last Name *

Parent/ Guardian's Address *

Parent/Guardian's Phone Number *

Parent/Guardian's Email address *

1st Child's First and Last Name *

1st Child's Date of Birth *

2nd Child's First and Last Name

2nd Child's Date of Birth

3rd Child's First and Last Name

3rd Child's Date of Birth

4th Child's First and Last Name

4th Child's Date of Birth

The enrollment fee for Our Afterschool Program is $100.00 per child. The weekly cost is $125.00 per child due the week before. *

By clicking, I understand and agree to the Afterschool Program cost and when payment is due.

Please select the school in which your child needs to be picked up from. *

Park Meadows Academy
Mildred Elementary