S.A.C.C. (School-Aged Child Care)
Our Lady of the Angels School
4232 Mercier Street
Kansas City, MO 64111
(816) 931-9702
Parent Name _________________________________________________________________
Street Address ________________________________________________________________
City State Zip Code
Phone: (Work) ____________________ (Cell)_________________ (Home)________________
Student Grade
____________________________ _______
____________________________ _______
_____________________________ _______
The SACC fee is $100.00 per child per month or $25.00 a week. FEES MUST BE PAID IN ADVANCE FOR CHILDREN TO ATTEND SACC.
Fees are due the last day of the preceding month. Additional charges include $1.00 per minute late fee, paid when child /children are picked up after hours.
I HAVE READ AND AGREE TO COMPLY WITH ALL OF THE TERMS OF THE ABOVE STATED SACC CONTRACT. I FURTHER ACCEPT RESPONSIBILITY TO PAY ANY BANK CHARGES/COLLECTION FEES RELATED TO MY SACC PAYMENTS, IF APPLICABLE.
Parent/Guardian Signature __________________________________ Date ___________________
School Representative _____________________________________ Date ___________________
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