2022-23 STE After School Care Registration
This form is to indicate your interest in enrolling your child in after school care for the 2022-23 school year.  Please complete a form for each child enrolling.  We will be in touch with additional details soon.
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Student's Last Name *
Student's First Name *
Student's Gender *
What division is your child in for the 2022-23 school year? *
Grade Level in 2022-23 *
What day(s) of the week do you anticipate using After Care? *
Required
Name of Parent Contact 1 *
Parent Contact 1 - Email Address *
Parent Contact 1 - Cell Phone Number *
Name of Parent Contact 2
Parent Contact 2 - Email Address
Parent Contact 2 - Cell Phone Number
Other Individuals Authorized to Pick Up from After Care - Please list first and last name(s).
Please list any allergies your child has:
Please list any medical conditions the after care staff should be aware of:
Is there anything else you would like the after care staff to know about your child?
Do you have any questions?
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