Professional
Before and After School
Child Care

 
 
 
 
 
 

Please Scroll and Read through this entire page before taking any action:

The School Year Care Program

View the FAQ's for complete details of the program

Scroll Down for Registration Forms Below

The School Year Care Program provides before and after school care for children in grades 1 through 5 at Foster, Hoover, Howe, Jefferson, Lincoln, Markham and Washington Elementary Schools. Centers are located within each school building.

Morning Session - 7:00 to 8:35 a.m.
Afternoon Session - 3:25 to 6:30 p.m.
Monday through Friday.

 

Your School Year Care Registration Package has a total of 5 Forms

Please Read all information carefully!

All the forms are Editable PDF Forms that make it easy to fill out.

Just TAB through the document - TYPE in your information - then PRINT.
It's just that easy!
 
Directions on how to use Editable PDF forms are provided on the Instructions Page of each
document.

For Ease of Printing
The following 5 forms should be downloaded to your computer!
(Right Click, Save to Disk)

You can now SAVE the information you type in the forms for future use.
You will need Adobe Reader version 7 or newer.

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*All 5 Enrollment Forms are REQUIRED To Be TYPED.

*All 5 Forms MUST be submitted to MLEDP or
Your Child WILL NOT BE ENROLLED!

1 of 5 Child Health Assessment Form - Required (your doctor completes this form)

2 of 5 Expectations Checklist - Required

3 of 5 Minor Media Release Form - Required

4 of 5 Parental Consent & Emergency Contact Form - Required

5 of 5 Registration Schedule Payment Agreement (RSPA) - Required

NOTE: If you are new to the program or we do not have a valid Child Health Assessment Form on file (valid for one year), you and your doctor must complete this form prior to your child participating in the School Year Program. This is a requirement of the Pennsylvania Department of Public Welfare.

A copy of your signed Registration Schedule Payment Agreement will be sent back to you. We will fill in your weekly fee based upon your schedule selections.

Due to DPW site capacity limitations our enrollment process has always been on a first come, first served basis at our sites. So please, send in your enrollment forms as soon as possible.

 

Mail all 5 forms along with your registration fee to:

Mt. Lebanon Extended Day Program
250 Mt. Lebanon Blvd.
Suite 414
Pittsburgh, PA 15234

E-Mail: Kids@MLEDP.org

Call: 412-343-1661 with any questions.