The S.A.F.E/Zone After School Expanded Learning Programs 2019-2020 school year application. Each student is required to have an application.
All questions need to be filled out
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
2019-2020 School Attending *
The schools listed below only offer After School programs.
2019-2020 Grade Level *
Student has an IEP *
Student has a 504 Plan *
Student Health Information- Please check any conditions below that apply to your child. *
Required
Please list any medications needed during school hours- If no medications skip to next question
Your answer
Please list any food allergies- if no food allergies skip to next question
Your answer
Media Release *
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