After School Program: Additional Elementary School Request

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Please fill out this form to the best of your ability. Trackers needs up to 8 students possibly enrolled for an additional elementary school to be added to our After School. If the school is able to supply their own transportation, this greatly improves our ability to provide programing.

Email *

Your First & Last Name *

You role... *

A parent or guardian of a child attending the school.

an administrator of the school.

A PTA member of the school.

Your phone number:

Please provide the name of the Elementary school you are requesting to be considered in our After School programing: *

Can we guarantee up to 8 students for After School? (Please share this form with other families at your school.) *

Yes!

Im not sure.

Your Elementary Schools PTA contact (if known):

Additional Comments (optional)

Send me a copy of my responses.

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