{"id":320,"date":"2018-12-24T09:56:33","date_gmt":"2018-12-24T03:56:33","guid":{"rendered":"http:\/\/kidzhome.org\/?page_id=320"},"modified":"2020-01-15T23:52:08","modified_gmt":"2020-01-15T17:52:08","slug":"after-school-application","status":"publish","type":"page","link":"https:\/\/kidzhome.org\/esp\/after-school-application\/","title":{"rendered":"Homework Assistance Application"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n\n<p class=\"has-text-align-center\"> <strong>Base Prices<\/strong> (Spring 2020)<\/p>\n\n\n\n<p> The program hours are from 2:20 to 6:00 PM. <\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"\"><tbody><tr><td><strong>Days per Week <\/strong><\/td><td><strong>Monthly Price <\/strong><\/td><\/tr><tr><td>5 Days<\/td><td>$470<\/td><\/tr><tr><td>4 Days<\/td><td>$415<\/td><\/tr><tr><td>3 Days <\/td><td>$360<\/td><\/tr><tr><td>2 Days <\/td><td>$310<\/td><\/tr><tr><td>1 Day <\/td><td>$220<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-text-align-center\">\n<strong>Discounts<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Semester Discount: <\/strong>Save <strong>5%<\/strong> by registering for a full semester (5 months)<\/li><li><strong>KidzHOME Discount: <\/strong>Students who participate in other KidzHOME programs get a <strong>5% discount <\/strong>from the base price of those programs.  <\/li><li><strong>Sibling Discount:<\/strong> Oldest child pays full price, while each additional child receives <strong>$25 off per month. <\/strong> <\/li><li><strong>Find a Friend Discount<\/strong>: Get <strong>$20 off <\/strong>the next month for referring a new student  <\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p>There is also a separate <strong>registration fee<\/strong>. For more info please click <a href=\"http:\/\/kidzhome.org\/esp\/registration\/\">here<\/a>. For the full list of prices please click <a href=\"https:\/\/kidzhome.org\/esp\/prices\/\">here<\/a>. Please fill out the application below:<\/p>\n\n\n<div id=\"vfb-form-3\" class=\"visual-form-builder-container\"><form id=\"after-school-program-3\" class=\"visual-form-builder vfb-form-3 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"3\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 kidzhome-after-school-program-application \" id=\"item-vfb-81\"><div class=\"vfb-legend\"><h3>KIDZHOME After-School Program Application<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><div id=\"item-vfb-85\" class=\"vfb-section-div \"><h4>First Child Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-86\"><label for=\"vfb-86\" class=\"vfb-desc\">Child&#039;s First Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-86\" id=\"vfb-86\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-112\"><label for=\"vfb-112\" class=\"vfb-desc\">Child&#039;s Last Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-112\" id=\"vfb-112\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-87\"><label for=\"vfb-87\" class=\"vfb-desc\">Preferred Name <\/label><input type=\"text\" name=\"vfb-87\" id=\"vfb-87\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-date  \" id=\"item-vfb-95\"><label for=\"vfb-95\" class=\"vfb-desc\">Date of birth  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-95\" id=\"vfb-95\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  required \" data-dp-dateFormat=\"mm\/dd\/yy\" \/><label>mm\/dd\/yy<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-94\"><label for=\"vfb-94\" class=\"vfb-desc\">School and Grade  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-94\" id=\"vfb-94\" value=\"\" class=\"vfb-text  vfb-large  required  \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-88\"><label for=\"vfb-88\" class=\"vfb-desc\">Food Allergies <\/label><div><span class=\"vfb-span\"><label>Please specify<\/label><\/span><textarea name=\"vfb-88\" id=\"vfb-88\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><div id=\"item-vfb-89\" class=\"vfb-section-div \"><h4>Second Child Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-90\"><label for=\"vfb-90\" class=\"vfb-desc\">Child&#039;s First Name <\/label><input type=\"text\" name=\"vfb-90\" id=\"vfb-90\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-113\"><label for=\"vfb-113\" class=\"vfb-desc\">Child&#039;s Last Name <\/label><input type=\"text\" name=\"vfb-113\" id=\"vfb-113\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-91\"><label for=\"vfb-91\" class=\"vfb-desc\">Preferred Name <\/label><input type=\"text\" name=\"vfb-91\" id=\"vfb-91\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-date  \" id=\"item-vfb-96\"><label for=\"vfb-96\" class=\"vfb-desc\">Date of birth <\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-96\" id=\"vfb-96\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  \" data-dp-dateFormat=\"mm\/dd\/yy\" \/><label>mm\/dd\/yy<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-92\"><label for=\"vfb-92\" class=\"vfb-desc\">School and Grade <\/label><input type=\"text\" name=\"vfb-92\" id=\"vfb-92\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-93\"><label for=\"vfb-93\" class=\"vfb-desc\">Food Allergies <\/label><div><span class=\"vfb-span\"><label>Please specify<\/label><\/span><textarea name=\"vfb-93\" id=\"vfb-93\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><div id=\"item-vfb-97\" class=\"vfb-section-div \"><h4>Parent\/Guardian Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-98\"><label for=\"vfb-98\" class=\"vfb-desc\">Parents\/Guardians&#039; Names  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-98\" id=\"vfb-98\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-99\"><label for=\"vfb-99\" class=\"vfb-desc\">Parents\/Guardians&#039; Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-99\" id=\"vfb-99\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-100\"><label for=\"vfb-100\" class=\"vfb-desc\">Parents\/Guardians&#039; Cellphone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-100\" id=\"vfb-100\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-114\"><label for=\"vfb-114\" class=\"vfb-desc\">Parents\/Guardians&#039; Other Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-114\" id=\"vfb-114\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><\/li><li class=\"vfb-item vfb-item-address  \" id=\"item-vfb-101\"><label class=\"vfb-desc\">Address  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-101[address]\" id=\"vfb-101-address\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-101-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-101[address-2]\" id=\"vfb-101-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium  \" \/><label for=\"vfb-101-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-101[city]\" id=\"vfb-101-city\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-101-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-101[state]\" id=\"vfb-101-state\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-101-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-101[zip]\" id=\"vfb-101-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium  required \" \/><label for=\"vfb-101-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-101[country]\" class=\"vfb-select  required \" id=\"vfb-101-country\"><option value=\"\" selected='selected'><\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote d\\'Ivoire\">Cote d\\'Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"East Timor (Timor Timur)\">East Timor (Timor Timur)<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia, The\">Gambia, The<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macedonia\">Macedonia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palestinian Territory\">Palestinian Territory<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent\">Saint Vincent<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States of America\">United States of America<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Vatican City\">Vatican City<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-101-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-102\"><label for=\"vfb-102\" class=\"vfb-desc\">Emergency Contact  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><label>Name and contact information in case of emergency<\/label><\/span><textarea name=\"vfb-102\" id=\"vfb-102\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-103\"><label for=\"vfb-103\" class=\"vfb-desc\">Persons Authorized to Pick Up Child  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><label>Name, contact information. and relation to child<\/label><\/span><textarea name=\"vfb-103\" id=\"vfb-103\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><div id=\"item-vfb-117\" class=\"vfb-section-div \"><h4>Parents\/Guardians&#039; Employment<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-118\"><label for=\"vfb-118\" class=\"vfb-desc\">Employment Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-118\" id=\"vfb-118\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-121\"><label for=\"vfb-121\" class=\"vfb-desc\">Occupation  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-121\" id=\"vfb-121\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-119\"><label for=\"vfb-119\" class=\"vfb-desc\">Work Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-119\" id=\"vfb-119\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><\/li><div id=\"item-vfb-109\" class=\"vfb-section-div \"><h4>Program Information<\/h4><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-115\"><label for=\"vfb-115\" class=\"vfb-desc\">Please select a school for pick-up  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-115\" id=\"vfb-115\" class=\"vfb-select  vfb-medium  required \"><option value=\"PS 52 Sheepshead Bay School\">PS 52 Sheepshead Bay School<\/option><option value=\"PS 195 Manhattan Beach School\">PS 195 Manhattan Beach School<\/option><option value=\"Success Academy Bensonhurst\">Success Academy Bensonhurst<\/option><option value=\"Other\">Other<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-116\"><label for=\"vfb-116\" class=\"vfb-desc\">if you selected &quot;Other&quot; above, please specify <\/label><input type=\"text\" name=\"vfb-116\" id=\"vfb-116\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-110\"><label class=\"vfb-desc\">Please select if your child is already our student in another KIDZHOME program <\/label><div><span><label>This is important for calculating discounts.<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-110[]\" id=\"vfb-110-0\" value=\"Russian Theater Studio\" class=\"vfb-checkbox  \" \/><label for=\"vfb-110-0\" class=\"vfb-choice\">Russian Theater Studio<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-110[]\" id=\"vfb-110-1\" value=\"Other KIDZHOME program\" class=\"vfb-checkbox  \" \/><label for=\"vfb-110-1\" class=\"vfb-choice\">Other KIDZHOME program<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-111\"><label for=\"vfb-111\" class=\"vfb-desc\">If you selected Other KIDZHOME program above, please specify <\/label><div><textarea name=\"vfb-111\" id=\"vfb-111\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-105\"><label for=\"vfb-105\" class=\"vfb-desc\">Payment Method  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-105\" id=\"vfb-105\" class=\"vfb-select  vfb-medium  required \"><option value=\"Pay with Zelle\">Pay with Zelle<\/option><option value=\"Check\">Check<\/option><option value=\"Cash\">Cash<\/option><option value=\"Chase Quickpay\">Chase Quickpay<\/option><option value=\"Venmo\">Venmo<\/option><\/select><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-106\"><label for=\"vfb-106\" class=\"vfb-desc\">How did you learn about us? <\/label><div><textarea name=\"vfb-106\" id=\"vfb-106\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-107\"><label for=\"vfb-107\" class=\"vfb-desc\">Comments <\/label><div><span class=\"vfb-span\"><label>Important information about your child that we should know. All information will be kept strictly confidential.<\/label><\/span><textarea name=\"vfb-107\" id=\"vfb-107\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-108\"><label for=\"vfb-108\" class=\"vfb-desc\">Signature  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-108\" id=\"vfb-108\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><label>By signing this application I permit CEKPET Ltd. to take pictures\/videos of my child(ren) and publish them on its websites and Facebook page, as well as in its publicity materials.<\/label><\/span><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-82\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-83\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-83\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-83\" id=\"vfb-83\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-84\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-84\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/esp\/wp-json\/wp\/v2\/pages\/320\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"<p>Base Prices (Spring 2020) The program hours are from 2:20 to 6:00 PM. Days per Week Monthly Price 5 Days $470 4 Days $415 3 Days $360 2 Days $310 1 Day $220 Discounts Semester Discount: Save 5% by registering<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-320","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Homework Assistance Application - KidzHOME<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kidzhome.org\/esp\/after-school-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Homework Assistance Application - KidzHOME\" \/>\n<meta property=\"og:description\" content=\"Base Prices (Spring 2020) The program hours are from 2:20 to 6:00 PM. 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