After School 2022 Registration
Monday - Friday (snack and meal provided daily)
Program begins at 2:30 pm and ends at 6:00 pm
Transportation from home for $25 per week, per household

1162 Fort Mill Highway Suite A, Fort Mill, SC 29707
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Email *
Parent's Name *
Address *
Cell Phone *
How many children are you signing up? (up to 6 may be signed up with this form)
How will your child(ren) be transported to the center? *
Emergency Contact Name & Number *
How will your child / children get home? *
Do you want to sign up for free school supplies? If yes, we will contact you when it is time to sign up. *
Do you have Wifi / Internet at home?
Clear selection
Are you interested in signing your child / children up for sports programs? We drop off at practice. Parents must pick up from practice and transport to/from games. *
Do you have a personal computer or laptop?
Clear selection
Would you like food boxes if donated (based on availability)?
Clear selection
What are your work hours
Photo Release Permission (for promotional purposes) *
Photo Release Permission (for promotional purposes) *
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