The Bridge Downeast After School Registration
DEAR PARENT/GUARDIAN:
We are pleased to announce that it is opening registration for the 2019-2020 After School Program. The Program runs Monday through Thursday 2:45 pm to 6 pm. Students who attend school in the down east area will be picked up and brought to our facility on Harkers Island. The program includes an afternoon snack, homework assistance, and enrichment activities.

In order for your child to take part in this program, he/she must be admitted into the program and adhere to program guidelines as listed below. Registration numbers are limited.

You will be notified of the date your child will start in this program.

Program Goals:
- Provide a safe learning environment
- Provide a variety of enrichment activities for students
- Invest in both students’ academics and social skills
- Provide services to families for their literacy and continuing educational development

Program Information:
Program runs Monday - Thursday (2:40pm-6pm)
Afternoon snack provided
Slots are limited. After enrollment requests exceed the available slots, students will be placed on a waiting list until an open slot becomes available.

Student's Name *
Your answer
Student's School *
Grade *
Student's Birthday
Your answer
Will your student be needing transportation home? *
What is your physical address? *
Your answer
Parent/ Guardian's Name *
Your answer
Parent/ Guardian's Contact Number *
Your answer
Second Parent/ Guardian's Name
Your answer
Second Parent/ Guardian's Number
Your answer
Emergency Contact Name and Number *
Your answer
Please list your student's allergies if any.
Your answer
Our Floating Open house will be Tuesday, Aug 27th from 5 pm- 7pm. Please make a priority to attend in order to sign the necessary paperwork. *
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