Golestan After-School Program Application Form
Our After School enrichment program is for K - 8th grade. If your high schooler is interested in participating in our program, they can apply for an internship by emailing jobs@golestankids.com.

Cost: Please visit our website for the most up to date rates. Rates are paid monthly, based on the number of days per week you are scheduled for. Drop-ins are based on availability.

Once we receive your application, a member of our staff will follow up to confirm availability.
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Child's First & Last Name *
Child's Date of Birth *
MM
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DD
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YYYY
Parent/Guardian 1 First & Last Name *
Parent/Guardian 1 Email *
Parent/Guardian 1 Phone Number *
Parent/Guardian 2 First & Last Name
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number
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