Champions Afterschool Pickup Transportation Request
Parent's Name: *
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Child's Name: *
Your answer
Phone Number: *
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Email Address: *
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School You're Requesting Pickup From: *
Child's Grade:
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What Class(es) Are You Interested In? *
Required
If your child is already enrolled in a 3:45 or 4:45 class, please list the day and time:
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Any Additional Information You'd Like To Provide: *
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A Champions Afterschool Pickup Staff Member will contact you as soon as possible!
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