CARD After School Program Waiting List
To add your child to the after school program waiting list, please complete the information below.  We will contact you as soon as there is a spot open for your child.  If you are interested in learning about how our waitling list works, visit our website at www.chicorec.com/asp.

If you have specific questions about the program, please don't hesitate to contact us at the CARD Office at 530-895-4711.

To add more than one child to the waiting list, please submit a separate form for each child.
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Parent/Guardian Name (First and Last) *
Email Address *
Phone Number(s) *
Child's Name *
Child's Date of Birth *
Grade your child is in for the 2019-2020 school year *
If your child is not currently in school, what year will they be starting school?
If your child is not currently in school, please indicate if they will be in TK or Kindergarten
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Each school has a separate waiting list.  Which school or schools waiting list/s would you like to be added to? *
Additional notes or comments (optional)
**To add more than one child to the waiting list, please submit a separate form for each child.
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