All-Stars Online Enrollent Form
Student Name *
Your answer
Student Grade *
Your answer
Teacher (if elementary) *
Your answer
Parent/Guardian Names *
Your answer
Home Phone
Your answer
Parent #1 Cell Number *
Your answer
Parent #2 Cell Number
Your answer
Work Phone
Your answer
Emergency Contact Name *
Your answer
Emergency Contact's Number *
Your answer
Will your child be able to walk home after All-Stars/After School Program? *
Will your child be riding the bus to one of the bus stops? See form on website for more information. *
Other than parents/guardians listed above, who is allowed to pick your children up after All-Stars/After School program? *
Your answer
What days will your child attend All-Stars/After School Program? *
Required
I have read and agree to the All Stars/After School Rules and Discipline Policy *
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