Noto

Academic After School

Program Details

Location: 2236 Todds Lane, Suite A, Hampton, VA 23666
Calendar: We follow the Hampton City Schools calendar
Hours: Pick-up from school at 2:00 PM — students must be picked up from our facility by 6:00 PM

What Your Student Will Get

Payment

Weekly or monthly payment options are available.

Transportation-Only Option

If you only need transportation from school to home (without the after-school program), that's available too — just note it on your registration.

Student First Name*

Student Last Name*

Student Date of Birth*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Parent Phone Number*

Home Address

Name of School Currently Attending*

School Address

Current Grade Level*

Payment Option*

Allergies

Emergency Contact Name*

Emergency Contact Phone Numberne text*

Name of People that CAN NOT pick up student from after care.

We take pictures for marketing purposes. Can you child be included in the pictures?*

Insurance Company Name

Policy Number

Primary Insurance Name