After School Program
Please complete this REQUIRED form to sign up your child (if you are having more than one child attend the program you must fill out one form per child) for the after-school program taking place at the Marvin Williams Recreation Center. Programs are available for Kindergarten through 9th grade students (please refer to the after school program flyer for the specific days and times). A snack will be provided, please ensure to fill out the allergies portion of this form to let us know about any restrictions your child may have or if you will be providing their snack for them). This program will end at 6pm. Please pick up your child promptly from the center at 6pm.
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Email *
Student Name *
School Attending *
Parent/Guardian's Name *
Parent/Guardian's Phone Number *
Parent/Guardian's Email Address *
Emergency Contact Name *
Other Than Name Listed Above
Emergency Contact Phone Number *
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