Academic After School Program 2022-2023

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Please complete this form to participate in our Academic After School Program. Our after-school program is located at 2236 Todds Lane, Suite A, Hampton, VA 23666. We follow the Hampton/Newport News school calendar. Our after-school program starts at 2:00pm where students will be picked up from their school and transported to our facility for a snack, and homework completion with our certified instructors. You may pay weekly or monthly.

Email *

Student Name (First and Last name) *

Does the student have any allergies? *

Yes

Grade Level *

School Name *

Parent Name *

Parent/Guardian Phone Number *

How did you hear about this program *

From time we'll take pictures for marketing purposes, you give us permission to allow your child to participate. *

Yes

Need a phone call to discuss further

Submit

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