Senatobia High School After-School Registration 2023
SHS After-School Student Registration:

SHS After-School Program will begin October 16, 2023, and will be Monday-Thursday 3:15 p.m.-5:30 p.m.

*Registration Deadline: September 22, 2023.

Transportation for students will be provided from after-school each day, unless a student misses the registration deadline. If the registration deadline is missed, the parent will be responsible for transportation.
 
Complete this form to register your child for SHS After-School Program.

*This form is to be completed for ONE child. Fill out additional forms for additional children.

You may contact your building principal if you have questions. 
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Child Name *
Gender (For data purposes only) *
Ethnicity (For data purposes only) *
Child Grade *
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Street Address *
City/State/Zip *
Parent/Guardian Phone (Home and Cell) *
Parent/Guardian Place of Employment (Type N/A if none) *
Parent/Guardian's Employment Phone Number (Type N/A if none)  *
Emergency Contact Name and Number (must be in the student's school file) *
How will your child be transported from after-school? *
Parent Signature (type your name): By typing my name below, I understand that my child must adhere to all SMSD policies/procedures as outlined in the Parent/Student Handbook and consent to my child attending the SMSD After-School Program. *
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