Blue Lake Union Afterschool Program Registration

The Afterschool Program runs Monday - Friday directly afterschool to 6pm.

Please choose which days you would like your student to participate in the Afterschool Program.

Consistent participation in the program is necessary.

Please complete the entire form in order to register your student.
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Email *
Parent Name *
Parent Contact Number *
Name of Student *
Grade *
Days of Interest (Consistent participation Monday - Friday is preferred) *
Any Comments, Questions, or Concerns
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