TCEA After-School Program Student Registration Form
Complete the following form to enroll your student in after-school care at The Capitol Encore Academy.
Please complete one form per student enrolling.
Email address *
Student Name: *
Your answer
Payment options: *
Student age and grade level: *
Your answer
Parent/Guardian name: *
Your answer
Parent/Guardian address: *
Your answer
Parent/Guardian phone number: *
Your answer
Does your student have any known allergies? *
If you answered yes, please briefly describe any allergies below:
Your answer
Please describe any other non-allergy related information that would be relevant for the after-care teachers regarding your student:
Your answer
A copy of your responses will be emailed to the address you provided.
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