Hutchens 2022- 2023 Extended Day Lottery Registration Form
Our program will only be able to accept 30 students at this time. Parents will be notified and provided additional information by Monday, August 1, 2022, if their child / children have been selected.  Once all spots are filled, additional students will be placed on a waiting list and contacted if and when a spot is available. If you have any questions, please contact our Extended Day Coordinator, Michelle Revillosa.  She may be reached at: (251)221-1427 or
Parent / Guardian Name (First & Last) *
Parent / Guardian Email Address *
Parent / Guardian Phone Number (with area code) *
Student(s) Name ( First & Last) *
Student(s) Grade Level(s) *
Do you need services for Before School, After School, or Both *
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