BR CAREs @ HILLSIDE - Punch Card Request
Submit this form to purchase a Before, After or 1/2 Day Punch Card for the BR CAREs Program at Hillside Intermediate School. A fee will be assigned through MyPaymentsPlus. Once payment is received the Program Director will issue the card.
Email address *
Parent/Guardian Name *
Your answer
Student's Name (First, Last) *
Your answer
Student ID Number
Your answer
Registration Fee: I have paid the one time non-refundable fee to participate in the BR CAREs @ Hillside Program *
I would like to purchase *
Payment will be submitted through: *
Submit
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