Afterschool Registration Form

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Student Name *

Grade and Teacher *

What days will the student attend? *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays (Additional fee will be applied for early dismissal days)

Drop in

Drop in Early Dismissal 9/22

Drop in Early Dismissal 10/20

Drop in Early Dismissal 12/15

Drop in Early Dismissal 1/26

Drop in Early Dismissal 3/16

Drop in Early Dismissal 5/18

Required

I understand that to enroll in the Afterschool Program I also have to sign up on Smart Tuition and pay the Registration Fee. As soon as the School Parent Portal comes online, I will make sure to complete all emergency contact and medical information prior to the start of Afterschool. *

Yes

Required

Submit

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