OUSD Montera Middle School Afterschool Registration Form 2021-2022
Thank you for registering for the 2021-2022 Montera Afterschool Program.  Please contact Kenya Latimore at Kenya.Latimore@ousd.org or 510-560-3430 with any questions.

1. Fill out a separate application form for each student you are enrolling.
2. There will be a separate form to fill out for classes and sports (free and fee-based).  Mr. Latimore is in the process of confirming the days and times. This form will be available towards the end of July.
3. If you are enrolled in the afterschool program, you will have access to the free classes (hiking club, study hall, lacrosse, cooking, podcasting, coding, and healthy kids lifestyle).
4. If you are enrolled in the afterschool program, then the fee for a sports team will be waived.




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Email *
Student First Name *
Student Last Name *
I give my child permission to participate in the Montera Middle School 2021-2022 After-School Program. (Type your first and last name.) *
Grade 2021-2022 *
How many days will your child be attending the program and which days? Answering this question will help with staffing.
Monday
Tuesday
Wednesday
Thursday
Friday
1 day
2 days
3 days
4 days
5 days
Date of Birth  MM/DD/YYY *
MM
/
DD
/
YYYY
Parent/Guardian Name (First and Last Name) *
Home Address (Include City & Zip) *
Home Phone *
Cell Phone *
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