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After-School Care Payment Form

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

If you have any issues with the form, please reach out to Kathy Demas at [email protected]

Student's Name*

Answer Required

Sibling's Name (If Applicable)

Answer Required

Parent's Name*

Answer Required

Gryphon Kids Klub After School Care Prices*

Answer Required

$13.00 - One Day

$26.00 - Two Days

$39.00 - Three Days

$52.00 - Four Days

$65.00 - Five Days

$120.00 - Two Children ($120 per week)

$165.00 - Three Children ($165 per week)

$200.00 - Four Children ($200 per week)

Other:

You can add notes below (i.e. if you are paying for a full month at once, etc.)

Answer Required

You can access the payment schedule by clicking here

Confirmation Email

Confirmation Email *

Email Required