Tensas Academy After-School Tutoring Program Enrollment Form
Please complete this form for each child you wish to enroll in the Tensas Academy After-School Tutoring Program. This program is open to Tensas Academy students in grades PK3-6th Grades. The program schedule will operate from time of after-school dismissal until 5:00 and will follow the Tensas Academy calendar.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Age *
Your answer
Student Grade *
Type of Care Requested *
Parent / Guardian Name 1 *
Your answer
Relationship to Student *
Your answer
Parent / Guardian 1 Cell Phone number
Your answer
Parent / Guardian 1 Work Phone number
Your answer
Parent / Guardian Name 2 *
Your answer
Relationship to Student *
Your answer
Parent / Guardian 2 Cell Phone number
Your answer
Parent / Guardian 2 Work Phone number
Your answer
Comments
Your answer
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