Fall/Winter SY 2019-2020 After School Programs Application

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After School Application (OST) - Spaces are limited! Acceptance will be based on first come, first serve. You will be informed by email if your child will be offered a spot in the after school program you have selected. To apply to multiple programs, submit a separate form for each program.

Email *

Student Last Name *

Student First Name *

Grade-Homeroom *

Parent / Guardian First Name *

Parent / Guardian Last Name *

Parent / Guardian E-mail *

Please choose the after school program that you would like to join. (To apply to multiple programs, submit a separate form for each program.) *

Check box to give consent *

I give my child permission to participate in the above mentioned Out of School Time Program. I will make arrangements for my child to be picked up when the program concludes each day. I understand it is my responsibility to ensure my child’s attendance in this program. I understand that my child is also expected to meet school academic and behavior expectations.

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