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2023-2024 Registration Form
Please complete all required fields to register your family for the 2022-2023 School Year!
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* Indicates required question
Email
*
Your email
Is your child/ren currently enrolled in a SACC program?
*
Before & After school
Summer SACC
Not yet!
Required
Parent/caregiver name
*
Your answer
Parent/caregiver email address
*
Your answer
Parent/caregiver phone number
*
Your answer
Which of the following MORNINGS would you like to enroll your child for the 2023-2024 school year?
*
Monday
Tuesday
Wednesday
Thursday
Friday
No mornings needed
Required
Which of the following AFTERNOONS would you like to enroll your child for the 2023-2024 school year?
*
Monday
Tuesday
Wednesday
Thursday
Friday
No afternoons needed
Required
Child's Name (#1)
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Male
Female
Grade 2023-2024
*
Your answer
School 2023-2024
*
Jordan Small Middle School
Raymond Elementary School
Windham Primary School
Manchester School
Home Address
*
Your answer
Child's Name (#2)
Your answer
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Gender
Male
Female
Clear selection
Incoming Grade
Your answer
School 2023-2024
Jordan Small Middle School
Raymond Elementary School
Windham Primary School
Manchester School
Clear selection
Home Address
Your answer
Child's Name (#3)
Your answer
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Gender
Male
Female
Clear selection
Incoming Grade
Your answer
School 2023-2024
Jordan Small Middle School
Raymond Elementary School
Windham Primary School
Manchester School
Clear selection
Home Address
Your answer
If there are not spaces available when your registration is submitted, would you like to be added to the waiting list?
*
Yes, please add me to the waiting list.
No, I do not wish to be on the waiting list.
Any other information you wish to provide at this time?
Your answer
A copy of your responses will be emailed to the address you provided.
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