As a service to parents, St. Brendan Catholic School offers supervised extended after-school care from the close of the school day until 6:00 p.m. Prices are very reasonable and include an afternoon snack.

Registration Form

Please fill our the form below to register for our Extended Care program.

Family Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Name 1

Grade

Student Name 2

Grade

Student Name 3

Grade

Father's Name

First Name

Last Name

Father's Work Phone

(###)

###

####

Father's Cell Phone

(###)

###

####

Father's Email

Mother's Name

First Name

Last Name

Mother's Work Phone

(###)

###

####

Mother's Cell Phone

(###)

###

####

Mother's Email

Alternate Emergency Contact Name

First Name

Last Name

Alternate Contact Work Phone

(###)

###

####

Alternate Contact Cell Phone

(###)

###

####

Alternate Contact Email

Emergency information/ Allergies/ Health problems

Approximate time of pick up

Authorized Person for Pick Up 1

First Name

Last Name

Relationship

Phone

(###)

###

####

Authorized Person for Pick Up 2

First Name

Last Name

Relationship

Phone

(###)

###

####

I agree to adhere to all school policies pertaining to the Extended Day Program.

Extended Care

Registration Form

St. Brendan the Navigator Catholic School

School Links

Resources