ACDC – Child Care and Education for Children Since 1981!
Serving Gaithersburg, North Potomac, Potomac, Rockville & Silver Spring, MD
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GW K.A.V.E. Club Application 2016-2017
Galway Center School Age Programs
Student
*
First
Last
D.O.B.
*
MM slash DD slash YYYY
Sex
*
Male
Female
Are you?
New Student
Continuing Student
Select if you are
None
Montgomery County Public School Employee
Montgomery County Fire /Rescue Employee
Montgomery County Police Officer
Montgomery County Government Employee
Federal Law Enforcement Officer
Sibling Enrolled?
*
Yes
No
Requested Start Date
*
MM slash DD slash YYYY
Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Home Phone
*
Cell Phone
Mother/Guardian
*
First
Last
Mother/Guardian Employer
Mother/Guardian Work Phone
Mother/Guardian Email
*
Father/Guardian
*
First
Last
Father/Guardian Employer
Father/Guardian Work Phone
Father/Guardian Email
Select Tuition Payment Preference
*
ACH Direct Debit
Auto Bank Check from Financial Institution
Request for Special Accommodations:
Please explain here.
A non-refundable, $30 Application Fee per family is required to secure application. After acceptance, a signed contract and non-refundable Enrollment Fee, non-refundable Materials Fee and tuition installment are due. Tuition for schoolage and school year-only programs is based on an annual school year tuition commitment. Pay the total annual amount by bank check and receive 2.5% discount or pay equal, non-refundable monthly installments. The first installment is due August 1st and the last installment is due May 1st. Students enrolled after the first day of the school year will be assessed annual tuition installments based on the balance of the school year calendar. All remaining forms must be completed and on file one month prior to entry.. If space becomes available prior to your requested start date, monthly tuition payments will be required to hold the space. Academy has a non-discriminatory Admissions Policy.
School Age Programs Offered
*
Select School-Age Program
Before and After Extended Days
Before School Only
After School Only
Before and After Extended Days Programs
Select Program
7:00 a.m. – 6:30 p.m.
7:00 a.m. – 6:00 p.m.
7:00 a.m. – 5:00 p.m.
Before School Only
Select Program
7:00 a.m. – 9:25
After School Only Programs
Select Program
3:50 p.m. – 6:30 p.m.
3:50 p.m. – 6:00 p.m.
3:50 p.m. – 5:00 p.m.
B&A 7:00 a.m. – 6:30 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
B&A 7:00 a.m. – 6:00 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
B&A 7:00 a.m. – 5:00 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
Before School Only 7:00 a.m. – 9:25 a.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
After School Only 3:50 p.m.. – 6:30 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
After School Only 3:50 p.m.. – 6:00 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
After School Only 3:50 p.m.. – 5:00 p.m. Prices
M-F (monthly)
M-W-F (monthly)
T-TH (monthly)
Installment Payments (one of 10 payments)
$0.00
Fees Schedule – Application Fee- $30 Materials Fee- $150 M-F; $120 four days; $90 M-W-F; $60 T-TH Enrollment Fee- $75 School-year annual tuition is divided into 10 equal installments. First installment is due August 1st and the last is due May 1st .
Custom Schedules- Please consult with center Director for availability. Weekly tuition plans are available and are based on the number of weeks from the first day of school through the last day of school (approximately 42). Tuition is assessed whether or not your child attends.
Other comments or requests
Drop-In Fees for Registered Children: Full Day – $70; B&A – $50; Before – $30; Delayed Opening – $40; After $30; Early Release – $60
Parent/Guardian Signature
*
Date
*
MM slash DD slash YYYY
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