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AES After School Registration Form
Please fill out all of the information in order for your student to be enrolled in after school care. After registration a representative will reach out to you to confirm details. For more information regarding AES Afterschool Program, please click the link below:
AES After School Information 23-24
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* Indicates required question
Your Name
*
Your answer
Please list all children's names you are signing up:
*
Your answer
Grade(s)
*
Kindergarten
First
Second
Third
Fourth
Fifth
Required
Physical Address
*
Your answer
Email Address for Payment
*
Your answer
Mother/Guardian's Name
*
Your answer
Best Contact Number
*
Your answer
Place of Employment
Your answer
Work Phone Number
Your answer
Father/Guardian Name
*
Your answer
Best Contact Number
*
Your answer
Place of Employment
Your answer
Work Phone Number
Your answer
Does your child have any allergies or medical concerns?
*
Your answer
Emergency Contact 1
*
Your answer
Emergency Contact 2
*
Your answer
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