Welcome to New Life Care! Use this form to register for our 2023 Summer Care program and our After-School Care for 2023-2024 Text Ketrah Holley at 251-525-3938 OR at 251-802-8542 for assistance or for more info. She will call you back as soon as possible.

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
Additional Info

For Summer Care 2023- Please select your child's current grade level during the 2022-2023 school year.


Daily Tuition Fee is $40 per day for the first child, then $35 a day for each additional sibling.

*You will be asked to fill out a form with the days/weeks that your child will be attending as we get closer to the summer. This will help us with planning our classes and our staff. 

*TUITION FEES WILL BE INVOICED ONTO YOUR ACCOUNT ON FRIDAYS and Automatic E-Payments will be run on Friday evenings.


A non-refundable REGISTRATION FEE WILL BE $100.00 FOR EACH CHILD FOR SUMMER CARE due at at the time of registration. Max Fee per family is $250.00 This fee includes 1 t-shirt per child to be worn on field-trips and a Liability Insurance fee. 

There will also be an ACTIVITY FEE that will cover all of the field-trips this summer. This will invoiced onto your account after you have submitted your registration forms. This fee will be due 1 week before summer care begins and is non-refundable. Fee amounts are still TBD and will be posted as soon as all the details for activities are in place. You will be asked to sign a permission form at the time the activity fee is due. This form will serve as permission for all the activities at New Life this summer. Field-Trips are always optional, so you can choose to opt out of the activity fee. I will not be able to let parents pay for individual field-trips. I will make exceptions for 3 reasons only.

1. Your child has to attend the reading camp at the local elementary school. I will deduct the cost of any field-trips they will miss during those 3 weeks.

2. You have a custody agreement where you are required to split time during the summer with the other parent and that parent does not have the child enrolled at New Life this summer during their time.

3. Your child has special needs or a physical disability that prevents them from participating in certain activities involved on the fieldtrip.


For After-School Care- Please enroll your child in the class for the school they attend. Also, please be sure that you include their age and grade level. Registration Fees for After-School Care will be due by July 21,2023

Enroll in Classes
Select Class *
Required Policies and Agreements
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I Agree to All of the Above
December 7, 2023
Questions or Concerns
Payment Information
Account Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)