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Afterschool Program Enrollment Form
Welcome to Freedom City's Afterschool Program Online Registration! Registration is first come, first serve.
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* Indicates required question
Child's First Name:
*
Your answer
Child's Middle Name:
Your answer
Child's Last Name:
*
Your answer
Child's Gender:
*
Female
Male
Prefer not to say
Other:
Child's Ethnicity:
*
African American
Asian
Bi-Racial
Hispanic
Native American
Other
Pacific Islander
White
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Child's Grade:
*
1st
2nd
3rd
4th
5th
6th
7th
8th
Child's Student ID Number
*
Your answer
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
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