Rio School District After School Education and Safety program application 2021-2022 School Year
Please complete this application for the ASES program. If your child is accepted in the program, you will be required to complete another registration form in the fall with additional information. Students who are foster, homeless, English Learners, and are not meeting grade level expectations are given priority. Please submit form by June 4, 2021.

ASES program not available at Rio del Sol nor Rio Vista.
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Student First and Last Name *
Student school in 21-22 *
Grade in 21-22 *
Does this child have siblings applying for the program? *
Names of sibling(s) applying for the program.
Parent/Guardian 1 name *
Parent 1 phone number *
Parent 1 email address
Parent/Guardian 2 name
Parent 2 phone number
Parent 2 email address
Preferred language of communication *
If attending Rio del Valle, Rio Lindo, or Rio Real, and live in the Nyeland Acres neighborhood, do you require transportation for your child?
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If you wish to allow your child to walk home, you will need to sign a form that will be sent to you later. Please indicate here if you will allow your child to walk home.
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Full names of at least two adults who have permission to sign child out of program. *
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