Editing previous response:

Please fix the highlighted areas below before submitting.

AfterCare Registration 2022-2023

Please complete the form below. Required fields marked *

AfterCare Registration 2022-2023

Student Name(s)*

Answer Required

Parent Information

Parent/Guardian Name(s)*

Answer Required

Mother's Primary #*

Number Required

Mother's Secondary #

Number Required

Father's Primary #*

Number Required

Father's Secondary #

Number Required

Emergency Contact and Phone #*

Answer Required

Name(s) of Student enrolled - Grade/Food Allergies/Medication*

Answer Required

The following people are permitted to pick up my child from AfterCare (include name and #): *

Answer Required