LTCS 2020-21 Connect

Child Name

Grade

Home Room Teacher

Medical Info/Allergies

After Care

Weekly After Care
Daily After Care

Jan 7th & 8th Daily

Thursday Jan 7th ($23.00)
Standard Registration - 3:15 - 6:30PM
Friday Jan 8th ($23.00)
Standard Registration - 3:15 - 6:30PM

Location Information

Location Name
Liberty Tech Charter School
Address
119 Price Rd, Brooks, GA, 30205 US
Directions
Google, Bing, MapQuest

Parent / Guardian Name #1

Parent / Guardian Name #2

Phone Number

Address

City, State and ZIP Code

Waiver of Liability - Parent/Guardian of Player

I agree not to hold Connect After School and the Liberty Tech School, its employees or any staff member liable for any injury that occurs to my child during Connect School Programs. *Both Connect and each Outside Vendor carries their own insurance policy.

I have read and agree to the terms above.

Late Pick-up Policy

I understand that if my child is picked up after 6:30 PM that I will be charged a late pickup fee of $1 per minute up to 6:44:59 PM. After 6:45 PM, families will be charged $2 for every minute that our staff has to stay after hours to care for your child.

At 7:00 PM - Liberty Tech Administration & Social services will be called if we cannot get in contact with a parent.

I have read and agree to the terms above.

Late Fees

Coupon Code

Almost done. Where should we send the confirmation?

Name

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2020-21 Connect After School

Fall Daily & Weekly Registration

@ LIBERTY TECH CHARTER SCHOOL

Secure Online Event Registration

After Care

Location Information

Almost done. Where should we send the confirmation?