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EKHLA After School Care Enrollment Form 2023-2024 School Year
Please use this form to secure a spot in the EKHLA After School Care (ASC) program for the 2023-2024 school year. You may use this form to enroll all of your students.
Please email kelsom@ekhla.org with any questions.
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* Indicates required question
Email
*
Your email
I have previously enrolled my student in ASC.
*
Yes
No
I have reviewed the Monthly Fees in the image below.
Monthly Fees are per student
*
Yes
Required
I want to enroll ____ students
*
1
2
3
Other:
Required
My student is in one of the following groups:
*
Kinder-5th
6th-8th
Both (I will make this clear in Section 2)
I understand that my student's seat in EKHLA ASC is not secured until I pay the $25.75 nonrefundable processing fee. ($25.75/student)
*
Yes; I will use the link on the EKHLA website to pay the fee. (
https://www.ekhla.org/apps/pages/index.jsp?uREC_ID=1554652&type=d&pREC_ID=form.ELEKHLA.rEZ0yhi.102
)
Required
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