After School Care Registration Form After School Care Registration Use 2025-2026 School Year "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.Family Last Name* Last After School Care Start Date* MM slash DD slash YYYY Please check the box ONLY if you intend to use ASC on an as needed basis.Please remember: Reservations and payment should be made by Thursday of the week before care is needed. We plan to use ASC on an as-needed basis. Student Information*Use the (+) symbol to add multiple names. Please indicate the days that each student will regularly attend ASC. You may type the following abbreviations in the box: M – Monday, T – Tuesday, W – Wednesday, H – Thursday, F – Friday.NameGradeDays attendingApprox. Pick-Up Time Add RemovePlease list any of your child(ren)'s special needs.This may include details related to allergies, custody arrangements, etc.Approved Pick Up List*Please provide the names of all people (PARENTS INCLUDED) who may pick up this child/these children from After School Care. Use the (+) symbol to add multiple names.NameRelationshipCell Phone Number Add RemoveConsent* I consent to the After School Care Program guidelines and give permission for any adult listed above to pick up my child/children from the St. Ignatius After School Care Program.