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Sutton Afterschool Registration 2023-2024
* Indicates required question
Email
*
Record my email address with my response
Student Last Name:
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Your answer
Student First Name:
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Your answer
Date of Birth:
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MM
/
DD
/
YYYY
Gender:
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Your answer
Grade:
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Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Parent/Guardian Name:
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Your answer
Address:
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Your answer
Parent/guardian phone number:
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Your answer
Parent/guardian phone number:
*
Your answer
Address
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Your answer
Emergency contact:
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Your answer
Emergency Contact Number:
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Your answer
Relationship to student:
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Your answer
Emergency Contact #2:
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Your answer
Relationship to student:
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Your answer
Phone number:
*
Your answer
Please list any individuals that will be picking your child up from afterschool.
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Your answer
Please provide the best email address(es) to use to contact you with information about Afterschool:
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Your answer
Does your child have any allergies or health conditions we should be aware of?
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Your answer
List anything your child needs assistant with:
*
Your answer
Does your child receive support services during the school day?
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IEP
504
No
Yes, please add us to the waiting list;
*
Yes, please add us to the waiting list
No, being added to the waiting list will cause a hardship for our family
Option 3
Any additional comments?
*
Your answer
Donations
*
Not at this time.
$10.00
$25.00
$50.00
$100.00
Other Amount
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