Skip to main content

After School Program

Youth Programs

2022-2023 AFTER SCHOOL PROGRAM

  • ASP Registration Starts 8.9.22 ( WE ARE CURRRENTL  AT CAPACITY) 
  • AS OF TODAY (8.11.22) AT 3:00PM WE WILL PLACE ALL REGISTRATIONS ON THE "WAITING LIST" 
  • AS Program Starts 9.6.2022  
  • Last day of ASP is 5.23.23 
  • Must be in grade k-6 to enroll. 
  • Enrollment will be limited to 25 students to start, but we will have a waiting list each semester. 
  • Parents or authorized adults must sign kids in/out daily. (grades k-4)
  • Summer Program is currently FREE! 
  • FREE Healthy Snacks daily! 
  • Activities = Sports/ STEM / Arts & Crafts / Reading time 
  • Hours OPEN= 4P-6P ( Monday- Thursday) 
  • WE ACCEPT GRADES (K-6TH) our limit will 40 children. All others will be on a wait list.  
    Questions.......please call 719.468.6792. Thanks!
Student Name
First Name *
Last Name *
(all 4 numbers for the year)
/
/
Current Grade
Parent
First Name *
Last Name *
Date
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Parent Phone #
Emergency #1
First Name *
Last Name *
Emergency #1 Phone

WILL YOU ALLOW YOUR CHILD TO WALK HOME FROM THE ASP?
(MUST BE IN 4TH GRADE OR ABOVE TO LEAVE THE ASP ALONE)
NOTE: THIS SECTION MUST BE COMPLETED

Please Note any allergies, medical info, or information.


Parent(s) or Guardian(s) who have been authorized by this form are the only persons staff will release the child to from the ASP( After School Program). If there is an emergency that prohibits those authorized on this form to pick up the child, we require the parent to call the Bent County Community Center front desk at 719-662-1235 to advise staff of the person receiving “one time” authorization to pick up the child. To maintain a safe process for your child we ask that this procedure only used in case of emergency.    

(WAIVER OF LIABILITY & APPROVAL FOR PARTICIPATION)

In consideration of (name of child)membership and participation in the activities, special program or events at the Bent County/Las Animas Community Center, I as parent/guardian of above named minor, grant permission for participation in center activities and waives any and all rights and claims or damages against the Bent County/Las Animas Community Center and/or its sponsors for all claims arising from traveling to center and participating in activities and programs.  I will on behalf of above said child assume and pay any medical or emergency expenses in the event of an accident, illness, or other incapacity. I authorize the ASP to share information with the Las Animas school district, and to take pictures of my child participating in ASP activities. 

PLEASE READ THIS LIABILTY FORM TO SUBMIT FORM
First Name *
Last Name *
BY SUBMITTING YOU AGREE TO THE TERMS AND LIABILTY WAIVER

Our "Platinum" Sponsors Thank you!

Close