Busy Bee Registration for 2024-2025
Use this form to register your child/children for the Busy Bee after school program.  Filling out this form does not guarantee your child a spot in our program.  You will be contacted if your child is accepted.  You must pay the registration fee AND first week's payment AND there must be a spot open at that particular grade level.  All students not accepted will be put on a wait list according to their time and day they signed up.  All information is on the website.  

For faster payments please use the MySchoolBucks link on our website and choose the link for the 2024-2025 Busy Bee afterschool program
Email *
Student 1 *
Student 1 grade for 24-25 *
Required
Student 2
Student 2 grade for 24-25
Student 3
Student 3 grade for 24-25
Student 4
Student 4 grade for 24-25
Parent/guardian 1 *
Parent/guardian 1 phone *
Parent/guardian 2
Parent/guardian 2 phone
Email address 1 *
Email address 2
Home address *
Days children will attend (this must be consistent each week) *
Required
Emergency contact 1 *
Phone Contact 1 *
Relationship to student *
Emergency contact 2
Phone Contact 2
Relationship to students
student 1 does your child have allergies? if yes, what are they? *
student 2 does your child have allergies? if yes, what are they?
student 3 does your child have allergies? if yes, what are they?
student 4 does your child have allergies? if yes, what are they?
Student 1 - Does your child have other medical needs we should know about, if yes what are they? *
Student 2 - Does your child have other medical needs we need to know about, if yes what are they?
Student 3 - Does your child have other medical needs we need to know about, if yes what are they?
Student 4 - Does your child have other medical needs we need to know about, if yes what are they?
My child/children should complete homework as follows *
There are times during which your student may be in a photograph or digital video that will be part of promotional materials associated with the Busy Bees after school program.  Please choose one of the options below: *
As an incentive, there may be times when your child will be viewing a G or PG movie. Please check below to approve or decline movie ratings for your child.  (check all that apply). *
Required
I have read the Busy Bee disclaimer page on the website and understand the payment and behavior policies associated with attending this program. *
Name of person submitting the form (this will serve as your electronic signature and acknowledgment of the disclaimer above). *
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