After School Registration
Please fill out the following form. After School will begin Sept 17th. Floating Open House will be Sept. 14th from 3pm-5pm.
Student 's Name (first & last) *
Your answer
What school does your student attend? *
Grade is your student going into? *
Required
What is your address? *
Your answer
What is your students date of birth? *
Your answer
Will your child need transportation? *
Does your child receive special education services? *
Does your child have any allergies? *
Your answer
Parent Name *
Your answer
Phone number *
Your answer
List any one who is allowed to pick up your child. Please list your relationship with the person. (ex: John Doe - Family Friend) *
Your answer
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