After School Program – How to Apply


After School Program – APPLICATION PROCESS

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After School Program application will NOT be accepted until ALL of the below items are submitted.

  1. Fill out the Online Application Form, click the button below.
  2. Due with Application (non-refundable): $10 registration fee
    • Pay Online HERE -or- Pay in Person -or- Pay by Mail 
  3. Household Information – number of individuals living in household and proof of income for every member of the household
  4. Parent Notice Form – print, complete, sign & return (click HERE). Copies available at LUM if you are not able to print it.
  5. What you need to submit with your application and registration:
    • Online Application Form – Completed, click button below
    • Children’s names, date of birth, grade, school, teachers’ names
    • Medical information – medication and allergy information; Immunization Record – current year
    • Educational needs information; Individualized Education Plan (IEP), if applicable
    • Emergency contact information
    • Read and agree to the Discipline/Guidance Policy
    • Payment, if not paid online

If you have additional questions, please email or call Kristi Hogue (khogue@lumserve.org | 765-423-2691).


Important After School Program Information may be found HERE

  • Includes important information for students & parents
    — dates, open house, fees, forms & more
  • OPEN HOUSE: Tours of the LUM Ray Ewry Youth Center (525 N 4th Street, Lafayette, IN) may be arranged by emailing Kristi Hogue at khogue@lumserve.org.

Who’s eligible for the After School Program:

  • Elementary aged children – Kindergarten through 8th grade
  • Students attending the following schools:
    • Lafayette School Corporation — all schools
    • West Lafayette Community School Corporation — all schools
    • Lafayette Christian School and St. James Lutheran School
    • Paramount Schools of Excellence
    • Tippecanoe School Corporation — not offered at this time
  • Limited to 60 children

Contact information:

Kristi Hogue
Email: khogue@lumserve.org
Phone: 765-423-2691