Afterschool Program Registration

Step 1 of 8 · Parent

Program cost

A one-time $100.00 registration fee per family (covers up to 3 children), plus $200.00 per month for your first child and $175.00 per month for each additional child (sibling discount — $25 off).

ParentChildrenMedicalEmergencyPickupWaiversEligibilityReview

Parent / Guardian Information

Full Name

Relationship to Child

Mobile Phone

Alternate Phone (optional)

Text message permissions

Standing consent for text messages sent to the mobile number above. Each option is separate and entirely your choice.

I agree to receive program-related text messages from Jersey City PAL (JCPAL) at the mobile number provided, including registration confirmations, schedule changes, pickup and dismissal updates, closures, and emergency notices. Consent is not a condition of enrollment or of purchasing any goods or services. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help.Optional: I agree to receive promotional and marketing text messages from Jersey City PAL (JCPAL) at the mobile number provided, including program announcements, events, and fundraising news. Consent is not a condition of enrollment or of purchasing any goods or services. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help.

You can opt out at any time by replying STOP to any message, or by calling the JCPAL office at 551-367-0556. Carriers are not liable for delayed or undelivered messages. We never sell or share your mobile number or SMS consent with third parties for their own marketing.

Street Address

City

State

ZIP

How did you hear about JCPAL?

Details (optional)