Thorp Care 2018-19 (Tuition Based After School Program)
Please fill out this form to reserve your spot for our ThorpCare.

The program will begin the first day of school and run throughout the duration of the school year, Monday through Friday from 2:45 until 6:30 pm (Snack will be provided). Students must be picked up by 6:30 p.m.

Parents: We understand throughout the year students will participate in extra-curricular activities (ie Sports, Theater, Out of School Time). We ask you notify us via email.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade Level *
Parent Name *
Your answer
Phone Contact #1 *
Your answer
Phone Contact #2 *
Your answer
Email Address: *
Your answer
Parent Name *
Your answer
Phone Contact #1 *
Your answer
Phone Contact #2 *
Your answer
Email Address: *
Your answer
Program Selection *
Required
Does student have any other sibling(s) at Thorp? *
Required
Sibling at Thorp *
Your answer
Sibling at Thorp *
Your answer
Sibling at Thorp *
Your answer
Does your student have a 504/IEP? *
Does student have any medical conditions/allergies? *
Your answer
Does student have any restrictions/limitations? *
Your answer
In the event of Emergency Please Contact: *
Your answer
Emergency Contact Phone #: *
Your answer
Is there a court order of protection against any individual? *
Required
During student non-attendance days are you in need of student care? *
Required
Any Comments or Questions you may have? *
Your answer
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