TMPM Registration Form 2020-2021
Thank you for your interest in registering your child for TMPM.  Once you've completed the form, you will be contacted by our TMPM staff to let you know of your child's start date in the program.  Please complete the registration form below.  Thank you!

Grades:
Kinder - Second
(TMPM is not available for Pre-Kinder students)

Hours:
3:15 pm-6:00 pm (late fees will be occurred after 6:00 p.m.)

First Payment will be due upon the child's first day of TMPM.
To pay by debit/credit card over the phone please call 361.903.6525
Monthly payments are due by the 10th of every month.
TMISD Employees will be e-mailed a payroll deduction form

Prices: **Please note: There has been a change in pricing for 2 and 3 students.**
1 student- $95
2 students- $160 ($80 per child)    
3 students- $195 ($65 per child)
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Student's Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Grade Level *
Teacher's Name *
Will Student need Full Time or Drop In services? *
Are you a TMISD Employee? *
1st Contact Name & Relation *
1st Contact Phone # *
2nd Contact Name & Relation *
2nd Contact Phone # *
3rd Contact Name & Relation
3rd Contact Phone #
4th Contact Name & Relation
4th Contact Phone #
Student Allergies/Asthma/Medications *
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