2020-2021 KIDS IN ACTION Elementary After-School Program Waiting List
By completing the form below, you are requesting that your child/children be placed on the ASP waiting list. We are only accepting weekly registration at this time. Drop-in registration is not available. Please note that every elementary school does not house an ASP and some children are transferred to neighboring schools to attend the program. Thank you.
* Required
Child's Name (Please only list one child's name.)
*
Your answer
Child's School
*
Choose
Anne Street
Atkinson
Beaverbrook
Cowan Road
Crescent
Futral Road
Jackson Road
Jordan Hill
Moore
Moreland Road
Orrs
Child's Grade Level
*
Choose
PK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Child's Teacher
*
Your answer
Are there other siblings in the household that will need to attend ASP this year?
*
Yes
No
If so, please list each additional child's name, teacher name and grade level.
Your answer
Name of person completing this form.
*
Your answer
Relationship to child:
*
Choose
Parent
Legal Guardian
Other
Contact information:
*
Your answer
Submit
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