primeCARE management system

LATE PICK UP FEE form

Dear Parent and/or Guardian,

We hope your day is going beautifully. Thank you so much again for sharing your precious child with us at Prime. We really appreciate you.

Please kindly fill out the Late Pick-Up Fee form upon your late arrival to pick up your child at Prime. A Prime staff member is available to assist you as needed.

Please refer to our Late Pick Up Policy for any clarification requirements.

We wish you a fabulous Day!

(240) 744-0400

Parent/Guardian Name

First Name

Last Name

Child's Name

Today's Date

YYYY

Time of Late Pick-Up

Hour

Minute

Second

Total Time Accessed for Late Fee

In Minutes

$25.00 Fees Applied?

$25.00 for up to the first 5 minutes after contractual time

Yes

Additional Minutes Fees

$2.00 for each additional minute

Total Late Pick-Up Fees Due

Parent Code

Signature

I agree that writing my initials or full names herein will be my legal signature for purposes of using this online Prime Foundation Montessori Late Pick Up Fee Form, this e-signature will have the same effect as if I had signed my name or initials manually.

primeCARE management system

LATE PICK UP FEE form

LocationS

Hours

Contact