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Extended Day Application_2026-2027

Extended Day Header

State College Friends School’s Extended Day program provides a welcoming, values-guided environment where children can spend the afternoon connecting with peers, exploring creative activities, enjoying a healthy snack, and receiving homework support. The program reflects the Quaker testimonies of Simplicity, Peace, Integrity, Community, Equality and Equity, and Stewardship.

Extended Day is offered Monday through Friday when school is in session, from 3:15 to 5:30 p.m. The program is open to the public, with transportation currently provided from Easterly Parkway Elementary School, Mount Nittany Middle School, and local charter and non-public schools.

The monthly cost is $375 for the 2026–2027 academic year.

Applications will be reviewed based on available program capacity. Families will be notified if State College Friends School is able to offer their child a space in the Extended Day program. Submitting an application does not guarantee placement.

Student Information

First Name*

Answer required for "First Name"

Preferred Name

Answer required for "Preferred Name"

Last Name*

Answer required for "Last Name"

Grade for the 2026-2027 academic year?*

Answer required for "Grade for the 2026-2027 academic year?"

Date of Birth*

Answer required for "Date of Birth"

Where does the applicant attend school?*

Transportation is available from Easterly Parkway, Mount Nittany Middle School, and local charter and non-public schools (ie: NVCS, OLV, Young Scholars, etc.)

Answer required for "Where does the applicant attend school?"

Does the applicant have an IEP, 504 Plan, or receive support services during the school day?*

Answer required for "Does the applicant have an IEP, 504 Plan, or receive support services during the school day?"

Yes

If yes, please upload a copy of the most current IEP or 504 Plan

Answer required for "If yes, please upload a copy of the most current IEP or 504 Plan"

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Is there anything you'd like us to know about your student that would help us create a positive, successful, and enjoyable Extended Day experience for them? This could include learning styles, interests, routines, sensitivities, accommodations, or anything else you'd like our staff to be aware of. The more we know, the better we can support your student. We welcome any information you'd like to share.*

Answer required for "Is there anything you'd like us to know about your student that would help us create a positive, successful, and enjoyable Extended Day experience for them? This could include learning styles, interests, routines, sensitivities, accommodations, or anything else you'd like our staff to be aware of. The more we know, the better we can support your student. We welcome any information you'd like to share."

Parent Information

Parent / Caregiver 1 First Name*

Answer required for "Parent / Caregiver 1 First Name"

Parent / Caregiver 1 Last Name*

Answer required for "Parent / Caregiver 1 Last Name"

Parent / Caregiver 1 Email*

Answer required for "Parent / Caregiver 1 Email"

Parent / Caregiver 1 Phone*

Number Required

Parent / Caregiver 2 First Name

Answer required for "Parent / Caregiver 2 First Name"

Parent / Caregiver 2 Last Name

Answer required for "Parent / Caregiver 2 Last Name"

Parent / Caregiver 2 Email

Answer required for "Parent / Caregiver 2 Email"

Parent / Caregiver 2 Phone

Number Required

Household Information

Street Address

Answer required for "Street Address"

City*

Answer required for "City"

State*

Answer required for "State"

Zip/Postal*

Answer required for "Zip/Postal"

Pick Up/Emergency Contact Information

Please list at least one additional individual (besides parent/caregivers listed above) who have permission to pick up your child from the Extended Day program.

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Mobile Phone*

Number Required

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Email Address

Answer required for "Email Address"

Mobile Phone

Number Required

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Email Address

Answer required for "Email Address"

Mobile Phone

Number Required

Medical Information

In an emergency, I authorize program staff to obtain medical treatment for my child if I cannot be reached. Relevant medical information may be shared with emergency responders or healthcare providers as needed.*

Answer required for "In an emergency, I authorize program staff to obtain medical treatment for my child if I cannot be reached. Relevant medical information may be shared with emergency responders or healthcare providers as needed."

Doctor

Name*

Answer required for "Name"

Phone*

Answer required for "Phone"

Address*

Answer required for "Address"

Hospital*

Answer required for "Hospital"

Dentist

Name*

Answer required for "Name"

Phone*

Answer required for "Phone"

Address*

Answer required for "Address"

Insurance

Company*

Answer required for "Company"

Policy*

Answer required for "Policy"

Group*

Answer required for "Group"

Please list any known medical conditions:*

Answer required for "Please list any known medical conditions:"

Please list any known allergies:*

Answer required for "Please list any known allergies:"

You can download a blank copy of the Pennsylvania Department of Health Physical Examination*

Answer required for "You can download a blank copy of the Pennsylvania Department of Health Physical Examination"

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Please upload a copy of the applicant's current vaccination record*

Answer required for "Please upload a copy of the applicant's current vaccination record"

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Extended Day Withdrawal Policy

Enrollment in the Extended Day program is intended to be a full-school-year commitment. Because spaces are limited and are reserved for participating students, families who wish to withdraw a student during the school year must provide at least 30 calendar days’ written notice.

Notice must be submitted to the school administration and will be effective on the date it is received. Families remain responsible for all program fees that fall within the 30-day notice period, including the full monthly fee for any month that has already begun.

Extended Day fees are paid in advance at the beginning of each month. Payments are nonrefundable and will not be prorated for absences, unused days, school closures, or a student’s withdrawal during a prepaid month.

Failure to attend the program or to submit payment does not constitute notice of withdrawal. The student will remain enrolled, and the family will remain financially responsible, until the required written notice has been received and the 30-day notice period has ended.

Exceptions may be considered by the school in cases of relocation, withdrawal from the student’s daytime school, or other significant circumstances, at the school’s sole discretion.

I acknowledge that I have read and understand the Extended Day Withdrawal Policy. I understand that enrollment is intended to be a full-school-year commitment and that at least 30 calendar days’ written notice is required to withdraw my student during the school year. I understand that I am responsible for all fees due during the 30-day notice period, including the full monthly fee for any month that has already begun. I also understand that payments are nonrefundable and will not be prorated for absences, unused days, school closures, or withdrawal during a prepaid month.*

Answer required for "I acknowledge that I have read and understand the Extended Day Withdrawal Policy. I understand that enrollment is intended to be a full-school-year commitment and that at least 30 calendar days’ written notice is required to withdraw my student during the school year. I understand that I am responsible for all fees due during the 30-day notice period, including the full monthly fee for any month that has already begun. I also understand that payments are nonrefundable and will not be prorated for absences, unused days, school closures, or withdrawal during a prepaid month."

By checking this box, I confirm that I understand and agree with the acknowledgement of the Extended Day Withdrawal Policy stated above.

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"