Extended Day Care

Please complete one form per student to enroll in the Monthly Extended Care Program. This form only needs to be submitted once per year. For changes to your enrollment, please contact Heidi Zoll at extendedcare@hancockdayschool.org.

Program Options:

Monthly Enrollment: $190/student (billed on the 1st of each month)
Drop-in Care: $20/student (billed retroactively on the 1st of each month)

Pick-Up: PreK-8th grade sign-out will be in front of the Primary Building.

Billing: Your FACTS account must be set to ‘Auto Pay’ for Extended Care.

Student's Last Name, First Namerequired

First Name

Last Name

Mother's Namerequired

First Name

Last Name

Mother's Email Addressrequired

Mother's Phone Numberrequired

Father's Namerequired

First Name

Last Name

Father's Email Addressrequired

Father's Phone Numberrequired

Emergency Contact Namerequired

First Name

Last Name

Relationshiprequired

Phone Numberrequired

Names of Other Authorized Pickup Contacts:

Student Allerigiesrequired

PLEASE READ BEFORE INITIALING. This document serves as an agreement between Hancock Day School and the Parent(s)/Guardians of the child indicated on the above registration. My child will attend Hancock Day School’s Extended program. I agree to pay the fees associated with the service provided to my family on a monthly basis. I understand that after 5:30 PM I will be charged an additional fee of $5 per minute per student by the Extended program staff. I understand that it is the policy of HDS and the Extended program not to allow my child to leave the school unless escorted by an approved adult indicated on my registration form. I agree that when picking up my child I, or the person I have authorized, will personally come and receive my child from the staff member in charge. I understand that my child must be signed out on the designated log at the time of departure. At no time will I pick up my child without first making my presence known to the staff member. I agree to notify HDS in writing immediately of any changes that occur in the information provided on the registration form, including work and home address, phone numbers, change in health information, change in emergency contacts, etc. In case of an emergency, if medical attention is required for my child before I can be contacted, I authorize the Extended staff to act on my behalf by contacting medical emergency personnel and following their advice for my child. Please initial below.required

PLEASE READ BEFORE INITIALING. Monthly fees are not prorated for partial months or unused days. If you wish to cancel monthly service you must do so in writing 30 days in advance of monthly billing. Any fees incurred prior to the notice are the participants’ sole responsibility. Please initial below.required

mobile-menu

decorative-logo

mobile-top-container

menu-trigger-container

mobile-search

mobile-main-nav

mobile-bottom-container

mobile-header-portals-nav

cta-nav

header-container

logo-container

logo-image

right-container

right-top-container

header-portals-nav

search-container

trigger-search

cta-nav

menu-trigger-container

right-bottom-container

nav-main

horizontal-nav

In This Section

Breadcrumb

Register Here

Extended Day Options

Billing Information

Pick-Up Details

Questions? We’re here to help.

logo-image

school-details-container

footer-useful-links