Doran FALL-2022 21st Century Program Student Application

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FALL RIVER PUBLIC SCHOOLS

Dear Doran School Parent/Legal Guardian:

Your child is invited to apply to the Doran 21st Century After-school Program to be held at Doran School beginning the week of October 4, 2022, through June 9, 2022. The program runs Monday, Tuesday, Wednesday, and Thursday from 2:15 p.m. until 4:15 p.m. for students in Grades 1 through 5 at no cost to you. No sessions will be held on Fridays. There is no bus transportation for students.

Because there are a limited number of slots for students to participate in the 21st Century After-school Program, please complete this form as soon as possible to apply for the program. All students participating in the after-school program are expected to attend all four days.

*Thank you for applying. We will notify you by phone or email to let you know if your child has been accepted or put on a waiting list. If you have any questions, please email: Nancy Borges at nborges@fallriverschools.org or Kim Raposa at kimraposa@fallriverschools.org.

Do you agree to have your child attend all 4 days each week? *

Yes

Student's Full Name *

Student’s Date of Birth *

2022 Grade Level *

2022 Classroom Teacher

Parent/ Legal Guardian Name *

Address *

Email Address*

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