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Please only fill these forms out if you are registering for after school.
After School Registration
Form
To register, please take the time to fill out the information below.
Child's First Name
Child's Birthday
Child's Last Name
Grade Level
Address
Mother's Name & Phone Number
Email
Father's Name/ Phone Number
Email
Authorized Pick up Person (must show ID)
Can we use this person as an emergency contact?
yes
no
Is your child on medication?
Continue
Policies & Procedures
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Child Name
Parent Name
Parent Signature
Clear
Submit
Proletics
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