JEC After School Sign Up
Please fill out a separate form for each student.
After School registration is not considered complete until payment is received. You can call Thalea at (908) 355-4850 x 6208 to pay though FACTS, or you can send a check to the business office.
If you have any questions, please call the elementary school office at (908) 355-4850 x 6233
Child's Name
Your answer
Parent's Names
Your answer
Parent's Cell Phone
Your answer
Emergency Contacts and Cell Numbers
Your answer
Child's Grade in September 2017
Are you signing up for Early Care (7:30am-8:00am)
Please select an After School Option
Allergy or other important information
Your answer
The following people are authorized to pick up my child:
Your answer
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