2022-23 Pioneer After-School Learning Services "PALS"

Thank you for your interest in the Stillwater PALS after school program. Our program provides children with the opportuity to learn new skills and gain new friends, all within a safe and secure after school environment.

Our program includes:

● Tutoring/Homework Assistance (certified teacher)
● Engaging Activities
● Nutritious Snacks
● SPS Employee Discount
● Support Staff Vouchers (must qualify)
● Multiple Child Family Discount
● Financial Aid (must qualify)

Tuition:

$25 application fee to reserve spot (Non-Refundable)

$265.00 monthly (this rate includes early release days)

Hours:

Monday-Friday 2:45pm - 5:30pm

(Friday early release hours: 2:00pm - 5:30pm)

Registration

Your Name *

Your Email Address *

Student's Full Legal Name (first middle last) *

Student Also Known As (nickname, etc.)

Elementary School Site: *

Grade Level *

Who is responsible for tuition? *

Mother

Father

Other Other

Are you a Stillwater Public Schools employee? *

No

Certified Staff

Support Staff

Applying for support staff voucher (employee contract must include hours past 3:30pm)

Parental Consent

If a medical emergency occurs and I cannot be reached, I hereby authorize the person in charge of the child care program to transport my child/relative to the nearest medical facility.

By signing below I agree that I have read the PALS parent handbook and the payment schedule and agree to the terms and policies as outlined. *

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