After School & Weekend Programs

Home / After School & Weekend Programs / After School & Weekend Programs

After School Form

  • T-Shirts are ordered prior to Afterschool. Please be sure to order the right size. T-SHIRTS CANNOT BE EXCHANGED.
  • Transportation Information: Must be completed for bus pick-up.

    IF YOU ARE PLANNING TO PROVIDE YOUR OWN TRANSPORTATION, PLEASE INDICATE THAT HERE. OTHERWISE, ARRANGEMENTS FOR BUS TRANSPORTATION WILL BE MADE.

  • IF PICK UP & DROP OFF ADDRESS IS DIFFERENT THAN HOME, PLEASE PROVIDE FULL ADDRESS, PHONE NUMBER:
  • Draw a Map: Show exact location of house by marking map with an X on correct side of street. Fill in all streets bordering your house. Show nearest main roads. If one way street, indicate with an arrow which direction. Indicate if your house is on a dead-end street or in a cul-de-sac.
  • TERMS OF PAYMENT

    A deposit of $200 must accompany this application. Full payment must be received by September 1of the school year. Checks should be made payable to Growing Minds of New York. We also accept Visa or MasterCard. Tuition includes all activities, photos, and T-shirt. Transportation is additional and determine by Transportation Company.

  • CONDITIONS OF ACCEPTANCE AND ENROLLMENT

    1. A Growing Minds medical form must be completed and submitted
    2. The Directors reserve the right to dismiss a Child’s whose physical condition, mental condition; behavior, personal conduct, or influence on other children is deemed to be detrimental to the center atmosphere. Should this occur, the deposit or unused tuition will not be refunded
    3. The center is not responsible for your child’s personal belongings or cash. It is highly recommended that children do not bring valuable items such as but not limited to, expensive clothing, jewelry, cameras, cell phones, CD players or video games to center.
    4. Child’s, parents and/or guardians agree to abide by center rules and regulations.
    6. It is understood no part of the tuition fee, or deposit, will be refunded after program has commenced. If a Child’s is absent due to illness or accident, as certified by a physician’s letter, for 10 consecutive center days during the afterschool session, a pro-rated refund will be made for every day thereafter.
    7. It is understood that program days may not be substituted due to illness or any other absence.
    8. I give permission for my child to participate in all center-related activities.
    9. I give consent for my child to be taken to and from center on field trips by means of transportation used by Growing Minds.
    10. In the event that I cannot be reached by phone in an emergency, I hereby give permission to my family physician, any local physician or hospital and to Growing Minds to administer emergency treatment to my child.
    11. It is understood all photography, videos and interviews taken at center may be used for promotional/advertising purposes.
    12. There is no reduction in tuition fees if transportation is provided by parent or guardian. Please indicate on the application if you will be providing your own transportation.
    13. Growing Minds Day Center is licensed by the New York State and inspected twice yearly. Copies of the inspections are kept on file.
    14. This contract constitutes the full understanding of the parties hereto and no change, modification or waiver of any of the terms shall be effective unless in writing and signed by both parties.
    15. In the event that this agreement is executed by one parent, the signer acknowledges that he/she is also acting as agent of the other parent with authority to enroll the child at center and to execute this agreement on his or her behalf.
    16. I agree any dispute concerning, relating, arising out of or referring to the subject matter of this contract shall be resolved exclusively by binding arbitration in Westchester County, New York according to the then existing commercial rules of the American Arbitration Association and the substantive laws of that state.

    Please note: Parental permission is required to release addresses and phone numbers to other parents for parties, play dates, etc. I give permission to release

  • Enter your name and today’s date to indicate your acceptance