RES After School Program
$300 (for remainder of school year)
Filling out this form signs your child up for the program. For questions, please reach out to Brendan Herlihy at 914-409-6693.
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Email *
Child's first name *
Child's last name *
Parent's name *
Emergency contact name & phone # *
Payment type *
Any notes (e.g. attendance notes, allergies, injuries, etc.)
A copy of your responses will be emailed to the address you provided.
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