2023-2024 SMLS Before & After Care Online Registration Form

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Please complete (1) online questionnaire form per student attending, once submitted you will receive an email confirmation. *The program will be using the SMLS Emergency Medical & Contact Form on file in the Health Office please update form as necessary.

More information can be found on the school website www.smlschool.org under the Student Life Tab.

Once the program capacity is reached, a waitlist will be available.

Email *

Student Last Name *

Student First Name *

2023-24 Student Grade *

Gender *

Female

Male

Student Primary Home Address - House #/Street/City/State/Zip *

Primary Phone *

Secondary Address - House #/Street/City/State/Zip - if applicable

Secondary Phone

Program Options, check all that apply. *

Only After Care

Only Before Care

Both

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