4K Enrollment Intent Form 2019-20



Stevens Point Area Public School District 2019-2020

4K Enrollment Intent Form

HRG-UCLCC

Enrollment Information

Guardian #1 Name (First, Last): _________________________________________________________________

Guardian #2 Name (First, Last): _________________________________________________________________

Street Address: _____________________________________________________ ZIP Code: ________________

Phone Number: ____________________________ Alternate Phone Number: _____________________________

Email: _____________________________________________________________________________________

Child’s Name (First, Last) ______________________________________________________________________

Name Child is known by: _______________________________________________________________________

Child’s Birth Date: _________________________________ Start Date: _________________________________

4K Hours: 8:45 am – 11:55 am, Monday - Thursday

Extended Care:

All non-student UWSP children must be registered for at least two (2) half day sessions (AM/PM) or two (2) full days outside of the 4K hours of 8:45-11:55am Monday-Thursday)

Please indicate your needs below:

Full Day (5hrs. or more outside of the 4K class times)

Half Day (5hrs. or less outside of the 4K class times)

4k hourly wrap-around (1 hour before &/or after 4K time ONLY @ $10/hr.) - UWSP student parents only

HOLDING FEE

To hold your child’s child care spot over summer, so that it is available in the fall, a holding fee will be charged. The holding fee is specific to child care rather than 4K. If you do not choose to pay the holding fee then it is possible your child’s child care spot will be filled by another child over summer. This policy does not apply to children under the age of two, as full-time attendance is required. UWSP student parents are excluded from this policy as well. The holding fees apply when your child(ren) are not in attendance for more than 2 consecutive weeks. If a family is not in attendance for 2 weeks or less, then vacation time would need to be used when not in attendance (following the 2-week vacation notification policy). If vacation time has been exhausted regular weekly tuition will be billed.

Please indicate your needs below:

My child will be attending this summer (provide schedule below)

We will be paying the $50.00 per week holding fee to guarantee a 4K child care placement in the fall.

We do not wish to pay a holding fee and hold a spot for our child at this time but would like to be added to the fall waitlist for 4K and child care. I will be notified by August 6th if there are openings at that time.

PLEASE WRITE IN EXACT TIMES IN THE BELOW CHART YOUR CHILD WILL ATTEND

| |SUMMER |FALL |

|Monday | | |

|Tuesday | | |

|Wednesday | | |

|Thursday | | |

|Friday (No 4K) | | |

Family Signature: ______________________________________________________

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