On Target Registration 2018-2019
Dear Parents,
Your child is invited to attend our On Target After School 21st Century program, which will be held Monday-Friday from 3:00-6:00. FREE snack will be provided each day. There is no charge for your child to attend this program. All you have to do is complete the following questions. Your child will participate in recreational and enrichment programs.
Email address *
Students Name: *
Your answer
Grade level *
Teachers Name
If teacher is unknown, we will fill this in for you.
Your answer
Guardians Name *
Your answer
Please list any allergies, medication, behaviors, or other important information we should know about your child. *
Your answer
Primary Contact Name and Numbers *
Your answer
Primary Contact's Work Phone Numbers
Your answer
Emergency Contacts & Emergency Contacts Phone Number
Your answer
List of those who can pick up *
Your answer
This year we will be having an evening bus. If interested please file in the address were student will be going after On Target.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Tell City-Troy Township School Corporation. Report Abuse - Terms of Service