Latchkey Registration Form 2023-24

St. Thomas More School

LATCHKEY REGISTRATION FORM

The Latchkey Program is available before school in the cafeteria from 6:30 a.m. to 7:30 a.m. and after school in the cafeteria from 3:00 p.m. until 6:00 p.m. (subject to change due to other activities). The program is open to STM students in Pre-K through 8^th grade. See the information packet for more details!

Questions may be directed to Mrs. Samantha Edmundson ([email protected]).

Registration Fee: $50/family

Please complete the form below. Required fields marked *

Family Name*

Answer Required

Street Address*

Answer Required

City*

Answer Required

State*

Answer Required

Zip Code*

Answer Required

Family Email Address*

Answer Required

Parent Guardian #1 Name*

Answer Required

Parent Guardian #1 Cell Phone*

Answer Required

Parent Guardian #1 Work Phone

Answer Required

Parent/Guardian #2 Name*

Answer Required

Parent Guardian #2 Cell Phone*

Answer Required

Parent Guardian #2 Work Phone

Answer Required

Child #1 Name, Grade, and Birthdate *

Answer Required

Child #2 Name, Grade, and Birthdate

Answer Required

Child #3 Name, Grade, and Birthdate

Answer Required

Child #4 Name, Grade, and Birthdate

Answer Required

The following people are approved to pick up my child/ren in the event that I am unable (must show picture ID when they arrive). Parents must notify Program Director in advance via email, text, phone call, or note sent in.

Emergency Contact Name and Phone Number #1*

Answer Required

Emergency Contact Name and Phone Number #2*

Answer Required

Emergency Contact Name and Phone Number #3*

Answer Required

My child will attend St. Thomas More MORNING Latchkey on the following days:*

Answer Required

Monday

Tuesday

Wednesday

Thursday

Friday

As Needed

My child will attend St. Thomas More AFTERNOON Latchkey on the following days:*

Answer Required

Monday

Tuesday

Wednesday

Thursday

Friday

As Needed

I certify that the information I have provided on this application is factually true and honestly presented.

Parent/Guardian Signature*

Answer Required

Date*

Answer Required

Please fix the highlighted areas below before submitting.

Latchkey Registration Form 2023-24