AES After School Registration Form
At this time we are accepting registrations to gage an interest for Spring Semester After School Care Program. Please note that if there are not enough participants, we will not be able to open.

AES ASDC will follow all COVID-19 protocols.

The cost will be $8.00 a day; discounts are available for multiple children.
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Email *
Child's Name *
Grade *
Child's Name
Grade
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Physical Address *
Email Address for Payment *
Mother/Guardian's Name *
Best Contact Number *
Place of Employment
Work Phone Number
Father/Guardian Name *
Best Contact Number *
Place of Employment
Work Phone Number
Does your child have any allergies or medical concerns? *
Emergency Contact 1 *
Emergency Contact 2 *
Submit
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