The following allergies (food, plant, medicine, etc.), health issues or medical conditions (past or present), or other information would be helpful for AGO to know about my student: *
Your answer
If it changes, I will update my contact information, as well as my student’s medical information with AGO. My current PHONE NUMBER and EMAIL is: *
Your answer
I _____ grant permission for my student’s photo to be published on AGO’s website and social media feeds. *
Which day of the week works best for your student to participate in this after school program? *
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