20-21 ROCS After Care Registration
This is a one time registration form to be completed for EACH child you wish to attend.  We must have this BEFORE your child's first day of attending After Care, along with the non-refundable $40.00 registration fee, and a SIGNED copy of the 20-21 ROCS After Care Program Policies and Procedures.

If you have any questions/concerns, please contact Imani Mills, our After Care Coordinator, via imills@raleighoakcharter.org.
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Email *
Child's First Name *
Child's Last Name *
Child's Teacher *
Primary Parent/Guardian Contact (First AND Last) *
Primary Parent/Guardian Phone Number (xxx-xxx-xxxx) *
Authorized Persons to Pickup Child (First AND Last) *
Medical Conditions/Allergies (If not applicable, please put N/A) *
Any other information of which staff should be aware? (If not applicable, please put N/A) *
A copy of your responses will be emailed to the address you provided.
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