SJMS Afterschool Program
Registration will not be complete until payment is received.
Email address *
Student Name *
Student Grade *
Student Email - used to send out zoom link *
Best number to reach parent - please include name *
Alternate number to reach parent - please include name
What is your preferred method of contact? *
Student cell phone number, if they have one.
Is it ok for us to contact your student's teachers? If yes, please send Bridge your student's schedule so we can track their progress and classwork. *
Required
Can your student sign off from Bridge after completing their google classroom time? *
Required
Emergency contact number & name
Health Issues or Allergies
Any additional information we should know?
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