After School Registration
How many students are you registering for the After School Program?
One (Add $25.00)
Two (Add $50.00)
Three (Add $75.00)
Four (Add $100.00)
Five (Add $125.00)
Six (Add $150.00)
Name of Student(s) and Grade level(s):
Names of Schools (if different):
Primary Person Responsible for Payment:
Contact number of Person responsible for payment:
Are your children returning students to our After School Program?
Your Email Address
in the box to the right »
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