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After School Youth Center Returning Student Enrollment
Priority enrollment is due August 1st.
Please use this form if your student already has enrollment information on file with the Youth Center. If you are not sure, please check in with Gabrielle at
ghinahara@mcpasd.k12.wi.us
Please complete one form for EACH returning student you are enrolling.
To enroll a new student or a sibling who has not enrolled before, please complete the full online enrollment here:
https://schools.procareconnect.com/register/9880b60a-e628-4250-b691-5bfe7064762b
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* Indicates required question
Student Name (First, Last)
*
Your answer
Parent/Guardian Name (First, Last)
*
Your answer
Parent/guardian phone number
*
Your answer
Parent/guardian email address
*
Your answer
Please list here any information that has changed since you previously enrolled this student. For example, a new address or phone number, new behavioral needs, etc.
Your answer
I am requesting enrollment for my student for the after school 2024-25 program at the Middleton Youth Center.
*
Yes
Required
Will your student need (free) bus transportation home from the Youth Center after school program? The after school activities bus leaves Kromrey at 4:45pm Monday-Thursday. (Select yes if your student will ride the bus home sometimes, even if it's not every day).
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Yes - My student will need bus transportation home from the after school program
No - My student does not need bus transportation home
Required
Student Address
*
Your answer
Anything else we should know?
Your answer
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