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CATS Afterschool Program Enrollment
Please complete the enrollment below to begin the application. Enrollment is limited. Submitting this form does not guarantee a spot in the program. Acceptance or wait list notes will be sent home soon.
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Primary Address for Student
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Your answer
Grade
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Pre Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Name of Guardian #1
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Your answer
Phone Number for Guardian #1
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Your answer
Place of Employment for Guardian #1
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Your answer
Phone Number for Place of Employment for Guardian #1 (In Case of Emergency)
*
Your answer
Name of Guardian #2
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Your answer
Phone Number of Guardian #2
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Your answer
Place of Employment for Guardian #2
*
Your answer
Phone Number for Place of Employment for Guardian #2 (In Case of Emergency)
*
Your answer
Please list any student allergies or medical needs.
*
Your answer
Do you live inside city limits?
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Yes
No
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