2020-2021 SML Before & After Care Registration
2020-21 Before and After Care Enrollment Form

Please complete (1) online questionnaire form per student attending for individual medical information.
Students may not attend the program until the enrollment form and registration fees are received. Once the form is submitted you will receive a Welcome Email with program information.  Thank you.
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Email *
Student Last Name *
Student First Name *
Student Grade and Homeroom *
Gender *
Primary Home Address  -  House #/Street/City/State/Zip *
Primary Phone *
Secondary Address - House #/Street/City/State/Zip
Secondary Phone
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