AFTER SCHOOL PROGRAM APPLICATION/REGISTRATION FORM

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Please complete one application for each child. After school will dismiss from door 2. After school starts on 9/11/23. After school employees will not assist with homework.

Hours 3:00pm-6:00 pm

After school invoice will be billed through Blackbaud Tuition Management .

PreK4 registered through the district students will be charged for after school in advance.

RATES

Child's Name *

Grade *

Address *

Home Phone *

How long would you need the afterschool ? *

until 3:30pm

until 4:00pm

until 4:30pm

until 5:00pm

until 5:30pm

until 6:00pm

What days of the week do you need afterschool? Check all that apply. *

Monday

Tuesday

Wednesday

Thursday

Friday

Required

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