CALL 516-728-4748 FOR REGISTRATION INFORMATION

TAX ID #11-3197361

Payments for the
before and after school program
should be addressed to and payable to:
Bethpage Discovery Program
18 Keswick Lane
Plainview, NY 11803

YOUR REGISTRATION FEE OF 20.00 PER CHILD MUST BE SENT IN PRIOR TO AUGUST 31ST!

THIS FORM MUST BE SUBMITTED PRIOR TO YOUR CHILD BEGINNING THE PROGRAM!

ALL PAYMENTS ARE DUE THE 1ST OF EACH MONTH

PLEASE BE REMINDED THAT THE AFTER CARE PROGRAM ENDS AT 5:00PM IN ORDER TO BE COMPLIANT WITH REGULATIONS FOR SCHOOL AGE CHILD CARE PROGRAMS

 
Name:
 
Address:
 
Town:
 
Phone:
 
Email:
 
School Attending: Grade as of 9/10:
 
Number of days needed in AM:
Number of days needed in PM:
 
 

 

DIRECTORS

 

Ellen Tjimos

Registration/Membership

 

Kathy Renneisen

Personnel - Day Care


Sandra Watson

Board of Directors President