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After School Care Payment

Please use this payment form to secure a seat in the EKHLA after-school care (ASC) program for the next school year. You may use this form to enroll all of your students. All Fields marked with an asterick * are required.

Please complete the form below. Required fields marked with an asterisk *

Parent Email*

Answer required for "Parent Email"

Parents Full Name *

Answer required for "Parents Full Name "

Parents Contact Number *

Answer required for "Parents Contact Number "

Student 1 Last Name. First Name, Grade *

Answer required for "Student 1 Last Name. First Name, Grade "

Student 2 Last Name. First Name, Grade

Answer required for "Student 2 Last Name. First Name, Grade "

Student 3 Last Name. First Name, Grade

Answer required for "Student 3 Last Name. First Name, Grade "

Registration Fee

Answer required for "Registration Fee "

$25.75 - 1 Student

$51.50 - 2 Students

$77.25 - 3 Students

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"