Spanish Immersion After-School Registration Form
Wilmington Bilingual Preschool After-School Program, Monday-Friday, 2:30 - 5:30 P.M. $80/week ($75 siblings) or $25/day
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Child's First Name
Child's Last Name
Child's Age (on Sept. 1st 2019)
Child's Birthday
MM
/
DD
/
YYYY
What Grade is Your Child in for 2019 - 2020?
What School Will Your Child Attend for 2019 - 2020?
Will you need van pick up for your child or will you bring him/her to the program at 100 Spartan Road?
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What days of the week will your child attend the after-school program? (check all that apply)
What time (generally speaking) do you plan to pick your child up from the after-school program?
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Parent Name (First & Last)
Parent Email
Parent Phone Number (Home/Cell)
Parent Phone Number (Work)
Home Address (Street Number, City, Zip)
Does your child have any diet restrictions or health concerns that we should know about?
Does your child have a sibling/siblings that will attend?
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If yes, what is the sibling's name?
If yes, what is the sibling's age?
If yes, what is the sibling's birthday?
If yes, what is the sibling's grade?
How did you hear about our program?
Does your child have prior experience with Spanish? (not required) Please describe:
Please confirm the following statement: "I understand that in order to confirm my registration in the WBPS After-School program, I will need to pay a $25/child registration fee. Invoice will be emailed to me. Prior to the start of the program I will receive a packet of information, including open house date to meet the teacher (optional attendance) and final paperwork that will need to be completed prior to my child's first day."
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