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2023-24 Tribe Time Application -MS/HS
Chickasaw Middle and High - 21st Century CCLC Program
Tribe Time will begin on August 14, 2023. It will be Monday-Thursday from 3:00 pm-5:30 pm.
For students currently in 7th grade through 12th grade.
There will be a MANDATORY parent meeting that MUST be attended in order for your child to be in Tribe Time. Date will be announced.
If you have questions, please email
klancaster@chickasawschools.com
or
kgraham@chickasawschools.com
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* Indicates required question
Email
*
Your email
Parent Name
*
Your answer
Parent Email Address
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Student Gender
*
Male
Female
Phone Number
*
Your answer
Grade (The grade level for the 2023-24 school year)
*
7th
8th
9th
10th
11th
12th
Race
*
Black or African American
White
Asian
American Indian or native Alaskan
Other
Does your child receive Special Education Services
*
Yes
No
List any special medical condition that may need care during the course of after school activities(Include Allergies) if none type n/a
*
Your answer
Dismissal is at 5:30 pm. Students must be picked up at 5:30. Students who walk home must have written permission to walk home. How will your child get home?
*
Car Rider
Walker
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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