Parent/Guardian Full Name

Email Address

Best Phone Number

Alt. Phone #

Student #1 Full Name

Gender GenderMaleFemale

Birthday: DD/MM/YYYY

Grade for 2019-2020 Grade for 2019-2020KIst2nd3rd

Please reserve my child's spot in the following programs: Please reserve my child's spot in the following programs: After School Care: Daily (M-Th) After School Care: Drop-In After School Enrichment Classes (M&W or T & Th) Full-Day Friday Care: Every Week Half Day AM Friday Care: Every Week Half Day PM Friday Care: Every Week Full-Day Friday Care: Drop Ins Half-Day Friday Care: Drop Ins

Would you like to add enrichment classes to your After School Care? Would you like to add enrichment classes to your After School Care?YesNo

Choose your enrichment classes Choose your enrichment classes M/W Spanish 1 (Grades K-1) Session #1 M/W Spanish 1 (Grades K-1) Session #2 T/Th Spanish 2 (Grades 2-3) Session #1 T/Th Spanish 2 (Grades 2-3) Session #2 M/W Kids Yoga (Grades K-3)

Enroll another child? Enroll another child?YesNo

Student #2 Full Name

Gender GenderMaleFemale

Birthday: DD/MM/YYYY

Grade for 2019-2020 Grade for 2019-2020KIst2nd3rd

Please reserve my child's spot in the following programs: Please reserve my child's spot in the following programs: After School Care: Daily (M-Th) After School Care: Drop-In After School Enrichment Classes (M&W or T & Th) Full-Day Friday Care: Every Week Half Day AM Friday Care: Every Week Half Day PM Friday Care: Every Week Full-Day Friday Care: Drop Ins Half-Day Friday Care: Drop Ins

Would you like to add enrichment classes to your After School Care? Would you like to add enrichment classes to your After School Care?YesNo

Choose your enrichment classes Choose your enrichment classes M/W Spanish 1 (Grades K-1) Session #1 M/W Spanish 1 (Grades K-1) Session #2 T/Th Spanish 2 (Grades 2-3) Session #1 T/Th Spanish 2 (Grades 2-3) Session #2 M/W Kids Yoga (Grades K-3)

Enroll another student? Enroll another student?YesNo

Student #3 Full Name

Gender GenderMaleFemale

Birthday: DD/MM/YYYY

Grade for 2019-2020 Grade for 2019-2020KIst2nd3rd

Please reserve my child's spot in the following programs: Please reserve my child's spot in the following programs: After School Care: Daily (M-Th) After School Care: Drop-In After School Enrichment Classes (M&W or T & Th) Full-Day Friday Care: Every Week Half Day AM Friday Care: Every Week Half Day PM Friday Care: Every Week Full-Day Friday Care: Drop Ins Half-Day Friday Care: Drop Ins

Would you like to add enrichment classes to your After School Care? Would you like to add enrichment classes to your After School Care?YesNo

Choose your enrichment classes Choose your enrichment classes Spanish #1 (Grades k-1) Session #1 (Aug. 19th- Oct. 18th) Mon/Wed 3:15- 4 PM Spanish #1 (Grades k-1) Session #2 (Oct. 21st- Dec. 13th) Mon/Wed 3:15- 4 PM Spanish #2 (Grades 2-3) Session #1 (Aug. 19th- Oct. 18th) Tues/Thurs 3:15- 4 PM Spanish #2 (Grades 2-3) Session #2 (Oct. 21st- Dec. 13th) Tues/Thurs 3:15- 4 PM Kids Yoga (Grades k-3) Monday and Wednesdays 3:15-4 PM)

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