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2019-2020 School Year Registration Form
*Please fill out the following information in order to register and/or hold a spot for your child at Kids Club. All new families will also need to fill out a paper enrollment packet and immunization forms found on the website.
Child's Name (First & Last):
Child's Date of Birth:
Child's Grade during the 2019-2020 school year:
Child's school in the fall:
Parent/Guardian Name (First & Last):
Address (please include city, & zip code):
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This form was created inside of Kids Club After School Program.