Eagle Mountain After School Program Registration
Weekly Fee: One Child per family $30; Two Children per family $55; etc.
Please Contact Ms. Kristina Ursin with questions.  kursin@gobsd1.org   870-698-9141

Families will only need to complete one form. List additional students who will also be attending the program(s) when prompted.

Sign in to Google to save your progress. Learn more
Email *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Batesville Public Schools. Report Abuse