Provided are guidelines for developing and implementing a before- and after-school child care program for elementary school students in suburban areas. Guidelines are based on the experience of Ohio's Groveport-Madison Local School District. Contents concern: (1) the process of establishing need; (2) the process of laying the groundwork; (3) first steps after approval; (4) an information sheet; (5) a program prototype; (6) the process of moving toward implementation; (7) objectives; (8) discipline policy; (9) job descriptions; (10) a staff record; (11) a registration form; (12) emergency medical authorization; (13) a health record; (14) a parent handbook for the extended-day program; (15) an hourly use card; (16) a sign-out card; (17) a daily time schedule; (18) examples of payment plans; (19) equipment and supplies; (20) day-to-day operation; (21) an activity list; (22) books and newsletters; (23) a publicity slide presentation of activities; and (24) an outline for program development. About a third of the manual consists of appended newsletters and calendars of activities. (RH)