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TCA After-School Care Program Application
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Email *
Program will be held 3:15-5:30 each school day beginning August 15, 2022
Mrs. Paula Biddle is the TCA Aftercare Program Coordinator for the 2022-2023 school year. For general program information, please contact her at pbiddle@responsiveedtx.com. For questions about enrollment, waiting lists, or fees please contact Bridgette Ray at bnray@responsiveedtx.com
Student Name *
Desired program start date *
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Student grade *
Additional students and grade level
Student lives with *
Parent/ guardian name *
Student address *
Phone number (this will be used for aftercare messaging) *
Email address for communication about TCA After-Care Program including billing notices and other information. *
Permission for Pick-Up: Only individuals listed on this form will be allowed to pick-up students from the After-School Care Program without prior written approval. The primary person(s) picking up my child/children on a normal daily basis is: *
Additional people allowed to pick up my child: (please include name and phone number) *
Authorization for Emergency Medical Treatment: I give consent for Tyler Classical Academy After-School Care Program to secure any and all necessary emergency medical care needed for my child. *
Please list any allergies or medical conditions that the program staff needs to ensure the safety of your child. (answer NA if none) *
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