Bess Maxwell Kids 1st Expanded Learning (Afterschool) Application 2021-2022
Please fill out a SEPARATE FORM for each child who wishes to enroll in the Kids 1st Afterschool Program.  

This paper form will be put into the online application system as soon as it is returned. If you wish to apply immediately, go to the webpage here: https://forms.gle/ywB1dZ4ShKbk6wms5.

You will be notified of your child's place on the waiting list for the 2021-2022 program by email, text or phone call.

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Email *
Parent/ Guardian Name & Relationship *
Phone # for Parent/ Guardian (This will be used for regular contact/ messages.) *
Work # for Parent/ Guardian (This will be used ONLY in an emergency or if other contacts can not be reached)
Email for Parent/ Guardian (This will be a critical way to receive information.)
Student's First Name *
Student's Last Name *
Student's ID Number (Lunch Number... If known)
Are there any issues we should be aware of? (allergies, shared custody, behaviors, academics...) *
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