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2021 SJMS Afterschool Program
Registration will not be complete until payment is received. - Registration is for 2021, once it is safe to reopen.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student Grade
*
8th
7th
6th
Student Email - used to send out zoom link
*
Your answer
Best number to reach parent - please include name
*
Your answer
Alternate number to reach parent - please include name
Your answer
What is your preferred method of contact?
*
Text Message
Phone Call
Other:
Student cell phone number, if they have one.
Your answer
Is it ok for us to contact your student's teachers? If yes, please send Bridge your student's schedule so we can track their progress and classwork.
*
Yes
No
Required
Can your student sign off from Bridge after completing their google classroom time?
*
Yes
No
Other:
Required
Emergency contact number & name
Your answer
Health Issues or Allergies
Your answer
Any additional information we should know?
Your answer
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