ICAGeorgia After School Program (SY2023-2024) "Lottery Registration"
Thank you for your interest in ICAGeorgia's After School Program.  Since there is limited availability, there will be a lottery for new families.  Please fill out the following for the lottery registration.  The lottery registration is open from 6/1/2023 at 9am to 7/5/2023 at 8:59am.  The lottery will take place at the school on 7/5/2023 at 9am.
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Email *
Student Name (Last, First, Middle) If there is more than one child to register as a new student, please list all children's name.・児童名(ラスト、ファースト、ミドルネーム)新規登録をご希望する全てのお子さまの名前を列記してください。 *
Student Grade Level (SY2023-2024)・学年(2023-2024年度) *
Is there a sibling already registered to ICAG ASP for the last school year? If yes, please list the student name below. If no, please write N/A. 昨年度、ICAGアフタースクール・プログラムに参加した兄弟姉妹はいますか?その場合、お子さまのお名前を以下記入してください。該当しない場合は、N/Aとご記入ください。 *
Priority Groups: please select the following. ・優先グループ:以下お選びください。
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Parent/Guardian Name・保護者名 *
Parent/Guardian Cell Phone Number・保護者さま携帯番号 *
Parent/Guardian Email Address・保護者さまEメールアドレス *
How often will you use the After School Program? Please note: a priority will be given to weekly families.・アフタースクール・プログラムにはどの頻度でご利用になりますか?(ウィークリーでご利用になるファミリーを優先させていただきます。) *
A copy of your responses will be emailed to the address you provided.
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