After School Learning Tree Online Registration
Student's Name *
Birth Date *
MM
/
DD
/
YYYY
Gender *
School Name *
School Address
Grade *
Classroom Number
Regular Dismissal Time *
Time
:
School Short Day
Clear selection
Short Day Dismissal Time
Time
:
Attendance Days in Learning Tree *
Required
First Attending Date
MM
/
DD
/
YYYY
Mother's Name *
Mother's Email *
Mother's Phone Number *
Father's Name *
Father's Email *
Father's Phone Number *
Address *
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