CARD After School Program Waiting List
To add your child to the after school program waiting list, please complete the information below. We will contact you as soon as there is a spot open for your child.
If you have specific questions about the program, please don't hesitate to contact us at the CARD Office at 530-895-4711.

To add more than one child to the waiting list, please submit a separate form for each child.

Parent/Guardian Name (First and Last) *
Your answer
Email Address *
Your answer
Phone Number(s) *
Your answer
Child's Name *
Your answer
Child's Date of Birth *
Your answer
Grade your child is in for the 2018-2019 school year *
If your child is not currently in school, what year will they be starting kindergarten?
Your answer
School your child attends or will attend *
Additional notes or comments (optional)
Your answer
**To add more than one child to the waiting list, please submit a separate form for each child.
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