BASE Drop-in Form

 

If you have not already paid the $54 BASE usage fee (charged for contract or non-contract use), the annual BASE usage fee will be added to your first Drop-in BASE billing.  We must have medical information on each student who takes part in BASE.  If you have not already filled in the paperwork, a link will be available for you to select and complete the information needed.

BASE Drop-In requests received after Noon on the date care is requested will be charged a rate of $27.00 for PM BASE.