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FACTS Monthly Services Sign Up
FACTS MONTHLY SERVICES
FACTS MONTHLY SERVICES for the 2022-2023 Academic Year
Please fill out this form for any student that needs the services listed below.
By completing this form, you are agreeing to be billed monthly through FACTS.
Charges will begin with August billing.
This sheet is ONLY for 2022-2023.
Parent First Name *
Parent Last Name *
Email Address
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First and Last Name of Student 1 *
2022-23 Grade of Student 1 *
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Monthly Services for Student 1
Bus Service / $115 monthly
Bus Service One Way / $70 monthly
Lunch / $80 monthly
Beverage only/ $20 monthly
Milk Break for K5-3rd / $20 monthly
Art (K5-8th) / $50 monthly
Ballet / *prices vary by class *10 month pay
Extended Care (K3/K4) 11:30-3:15 / $250 monthly
Extended Care (K3/K4) 11:30-5:30 / $350 monthly
Extended Care (K5-5th) 3:15-5:30 / $145 monthly
Homework Helper (1st-5th) / $165 monthly *10 month pay
Extended Study Hall (6th-12th) / $145 monthly
Student Support Program (6th-12th) / $165 monthly *10 month pay
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First and Last Name of Student 2
2022-23 Grade of Student 2
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Checkbox Label
Bus Service / $115 monthly
Bus Service One Way / $70 monthly
Lunch / $80 monthly
Beverage only/ $20 monthly
Milk Break for K5-3rd / $20 monthly
Art (K5-8th) / $50 monthly
Ballet / *prices vary by class
Extended Care (K3/K4) 11:30-3:15 / $250 monthly
Extended Care (K3/K4) 11:30-5:30 / $350 monthly
Extended Care (K5-5th) 3:15-5:30 / $145 monthly
Homework Helper (1st-5th) / $165 monthly
Extended Study Hall (6th-12th) / $145 monthly
Student Support Program (6th-12th) / $165 monthly
< Prev (2 of 6)
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First and Last Name of Student 3
2022-23 Grade of Student 3
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Checkbox Label
Bus Service / $115 monthly
Bus Service One Way / $70 monthly
Lunch / $80 monthly
Beverage only/ $20 monthly
Milk Break for K5-3rd / $20 monthly
Art (K5-8th) / $50 monthly
Ballet / *prices vary by class
Extended Care (K3/K4) 11:30-3:15 / $250 monthly
Extended Care (K3/K4) 11:30-5:30 / $350 monthly
Extended Care (K5-5th) 3:15-5:30 / $145 monthly
Homework Helper (1st-5th) / $165 monthly
Extended Study Hall (6th-12th) / $145 monthly
Student Support Program (6th-12th) / $165 monthly
< Prev (3 of 6)
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First and Last Name of Student 4
2022-23 Grade of Student 4
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Checkbox Label
Bus Service / $115 monthly
Bus Service One Way / $70 monthly
Lunch / $80 monthly
Beverage only / $20 monthly
Milk Break for K5-3rd / $20 monthly
Art (K5-8th) / $50 monthly
Ballet / *prices vary by class
Extended Care (K3/K4) 11:30-3:15 / $250 monthly
Extended Care (K3/K4) 11:30-5:30 / $350 monthly
Extended Care (K5-5th) 3:15-5:30 / $145 monthly
Homework Helper (1st-5th) / $165 monthly
Extended Study Hall (6th-12th) / $145 monthly
Student Support Program (6th-12th) / $165 monthly
< Prev (4 of 6)
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First and Last Name of Student 5
2022-23 Grade of Student 5
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Checkbox Label
Bus Service / $115 monthly
Bus Service One Way / $70 monthly
Lunch / $80 monthly
Beverage only/ $20 monthly
Milk Break for K5-3rd / $20 monthly
Art (K5-8th) / $50 monthly
Ballet / *prices vary by class
Extended Care (K3/K4) 11:30-3:15 / $250 monthly
Extended Care (K3/K4) 11:30-5:30 / $350 monthly
Extended Care (K5-5th) 3:15-5:30 / $145 monthly
Homework Helper (1st-5th) / $165 monthly
Extended Study Hall (6th-12th) / $145 monthly
Student Support Program (6th-12th) / $165 monthly
Enter Your Email Address: *
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