Extended School Care New Family Registration Request for the 2020-2021 School Year.
Please complete the form for all new students that you wish to enroll in the program for the 2020-21 school year. We will contact you when space is available in the program for your student(s). Space is available on a first-come, first-served basis to new families.
If your children attend different elementary schools, please complete the form separately.
We will contact you when space is available in the program for your student(s). Space is available on a first-come, first-served basis to new families.
First and last name of student #1 *
Grade student #1 will be entering for the 2020-21 school year *
First and last name of student #2
Grade student #2 will be entering for the 2020-21 school year
Clear selection
First and last name of student #3
Grade student #3 will be entering for the 2020-21 school year
Clear selection
First and last name of student #4
Grade student #4 will be entering for the 2020-21 school year
Clear selection
Name of Enrolling Parent/Guardian *
Full mailing address of student(s) *
Parent/Guardian's email address *
Parent/Guardian's phone number *
Indicate the school your child(ren) will be attending for the 2020-21 school year. (If children in the same family attend different schools, please complete a separate form for each school.) *
Do you require a fixed or flexible schedule? *
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