Please fill out these forms completely. If a question does not apply to your child, write N/A (not applicable). The forms must be in the educator’s possession on or before the first day your child begins care. Please notify your educator if any of the information changes.
*Each child who is enrolling in the ASP must have a separate application.
The registration fee is $25 per family and can be paid in the school with cash, check, or money order payable to St. Patrick After School Program.
First and last name
Primary Language of Child
Primary Language of Parents
Student Date of Birth
Student's Permanent Address
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