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AFTER SCHOOL PROGRAMS
Please complete this form if you are interested in enrolling your student(s) in the After School Programs for the 2022-2023 School Year. Please complete one form for each student.
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* Indicates required question
Student Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Grade for the 2022-2023 School Year:
*
Transitional Kindergarten
Kindergarten
1
2
3
4
5
6
7
8
Required
School Student is Attending in the 2022-2023 School Year:
*
Dena Boer Elementary
Mildred Perkins Elementary
Salida Elementary
Sisk Elementary (Program will be offered at Sisk)
Salida Middle School
Required
Parent/Guardian Name:
*
Your answer
Phone Number:
*
Your answer
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