FY 23 Congress BEFORE/AFTERSCHOOL PROGRAM Registration (ALL STUDENTS MUST HAVE A SCHOOL ID IN ORDER TO ATTEND!)                                                                                                                                   Please carefully read the entire registration document and complete all sections.    Thank You!
Please fill out all sections completely.  If you need assistance, please email Shayla Johnson at shayla.johnson@palmbeachschools.org

***IF YOU HAVE MULTIPLE CHILDREN, TWO SEPERATE APPLICATIONS MUST BE SUBMITTED.***

*** Program begins Tuesday, September 6 ,2022 and will end Friday,  May 5, 2022. Morning program time: 745am-845am; After School: 415pm-545pm. ***   STUDENT(S) MUST ARRIVE BEFORE 8:15 AM. IF THEY ARRIVE AFTER 8:15, THEY WILL NOT BE ALLOWED INSIDE! 
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Email *
Student Name: *
Student Date of Birth: *
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Student ID # *
Which program are you interested in?
Student Grade Level: *
Student Accommodation Status *
Dietary restrictions/Allergies: *
Parent/Guardian Name #1: *
Parent/Guardian Name #2: *
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