HPA Afterschool Student Application
We are so excited to have your child participate in the after school program. We had such a great time over the summer and look forward to fall programing. Please complete the entire application. If your child participated during the summer, simply put his/her name and update any information that may have changed over summer.
Child's Full Name
Prefer to be called (Nickname)
Date of Birth
Does this child have allergies of any kind?
If yes, please list.
Are you connected to:
Victory Bible Church
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