Afterschool 2020 Registration

Parent Information

Child Information

Click or drag a file to this area to upload.
A valid medical form (medical performed within 1 year) must be provided prior to the start of the program. Your child will not be allowed to be dropped off or picked up if a medical form is not provided.

Emergency Contact

Programs Terms and Conditions

I hereby swear that I am the parent or legal guardian of the listed student above, a minor, to participate in Kuei Luck Enrichment Center (KLEC) and all its programs and activities.

Tuition is due on the first of each month with a 5 day grace period. A late fee of $25 per week will be applied if payment is received late. A late fee of $1 for every minute is assessed for each child that is picked up late. In the event your child is asked to quarantine or has any COVID-19 symptoms, there will be no refunds given. In the event that schools are closed due to Government mandate and unforeseen events, there will be no refund given.

Parents must provide 1 month notice if they wish to withdraw.

Only individuals listed on the Parent Pick-up list may pick up your child. If there are any changes in pick-up, it must be made in writing. Further, all authorized individual picking up your child must be at least 18 years of age.

I grant KLEC and its affiliates the right to take and use photos and videos of the student listed above for promotional purposes. I hereby agree to reimburse the KLEC for any property damage caused by the student listed above. I understand that the listed student above will not be allowed to participate in the program and any other sponsored activities by KLEC unless a medical form completed by a licensed medical professional is provided. KLEC reserves the right to dismiss a student who, after careful consideration and examination, is deemed a hazard to the safety or rights of others or who appears to have rejected the reasonable expectations of the program and shall not receive a refund.

I understand and agree to pay a cash payment of the sum total of $25 for administration fee if any check written to Kuei Luck Enrichment Center is returned.

In the case of an emergency, if any of the listed contacts and emergency contacts cannot be reached, the director or acting person in charge of KKLEC as well as the medical staff at New York Hospital Queens has my permission to make decisions regarding the emergency care or treatment for the student listed above. I hereby waive and release KLEC , The New York City Department of Education and/or its designee from any and all liability and costs associated with any accidents and emergency care. I further understand that I or my medical insurance carrier will be responsible for any medical expenses arising from said emergency or treatment. I hereby certify that I have listed all medical conditions and activity limitations accurately and truthfully on my child’s medical form. By the student listed above participating in any activities or programs sponsored by KLEC, it is an automatically assumed that I agree to the terms and conditions listed above and are considered to be legally binding.

In the event KLEC is unable to open or is forced to begin late or close early due to circumstances beyond program’s control, including but not limited to weather, floods, utility failures, inaccessibility, communicable disease, civil unrest, governmental order or other such reason. KLEC shall not be responsible for any costs, losses or other damages beyond a credit of tuition or a proportionate share thereof in the event of a partial shutdown, minus any non-recoverable expenses and administrative costs spent in performance of this agreement. It is possible that no credits will be provided in such event.

This program is licensed by the NYC Dept. of Health and Mental Hygiene and is inspected yearly. This is not a school sponsored event. The School or School district is not responsible or liable for any programs or damages arising from participating in this activity.

Price: $ 500.00
This is a non-refundable deposit used to reserve a space for your child. If we do not have enough space, your $500 will be refunded. This $500 will be used towards your first month final tuition. Credits from 2019-2020 will be used to calculate final total. Staff will be in contact to arrange final payment. Monthly students from school year 2019-2020 will be able to use their deposit. Yearly students from school year 2019-2020 will receive a prorated credit from April-June.
$ 0.00