After School Class Transport
For Youth After School Classes TO and FROM CLASS between 3:00 - 6:00 PM
Preschool Transport TO CLASS between 3:00 - 6:00 PM and FROM CLASS between 3:00 - 5:00 PM
Child Information
Child’s Name: *
Your answer
Teacher’s Name: *
(If your child attends Kidscorner or Dragons Den please list KC or DD as 'Teacher's Name')
Your answer
My child is enrolled in: *
After School Class Information
MJCC Class Title: *
Your answer
MJCC Class Location: *
Child needs transport: *
Weekday: *
Please select all days
Required
Class Start Time: *
Time
:
Class End Time: *
Time
:
Class Start Date: *
MM
/
DD
/
YYYY
Class End Date: *
MM
/
DD
/
YYYY
If your child is enrolled in multiple after school classes, you will need to submit an additional form for each class.
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