JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
After School 2022 Registration
Monday - Friday (snack and meal provided daily)
Program begins at 2:30 pm and ends at 6:00 pm
Transportation from home for $25 per week, per household
1162 Fort Mill Highway Suite A, Fort Mill, SC 29707
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent's Name
*
Your answer
Address
*
Your answer
Cell Phone
*
Your answer
How many children are you signing up? (up to 6 may be signed up with this form)
Your answer
How will your child(ren) be transported to the center?
*
Transportation Needed ($25 per week per household)
I (or family/friend) will drop off my child(ren)
Required
Emergency Contact Name & Number
*
Your answer
How will your child / children get home?
*
Parent pick up BEFORE 6:00 pm from 1162 Fort Mill Highway Suite A, Fort Mill, SC 29707
Family member pick up before 6:00 pm from 1162 Fort Mill Highway Suite A, Fort Mill, SC 29707
Do you want to sign up for free school supplies? If yes, we will contact you when it is time to sign up.
*
YES
No
Do you have Wifi / Internet at home?
Yes
No
Clear selection
Are you interested in signing your child / children up for sports programs? We drop off at practice. Parents must pick up from practice and transport to/from games.
*
Yes
No
Do you have a personal computer or laptop?
Yes
No
Clear selection
Would you like food boxes if donated (based on availability)?
Yes
No
Clear selection
What are your work hours
Your answer
Photo Release Permission (for promotional purposes)
*
Yes
No
Required
Sign forms here:
https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=6b33ff0b-c757-4ae9-955b-0922ee2b62b6&env=na3&acct=4cd6caf6-0b99-4e85-91f3-5060f3a58883&v=2
Required before after school starts!
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
