2024 Fall After School Registration

Child Information

Child's Name *

Age *

Birthday *

Which School? * *

Allen Creek ElementaryJefferson Road ElementaryMendon Center ElementaryPark Road ElementaryThornell Road ElementaryCouncil Rock Primary SchoolFrench Road Elementary School

Allergies *

Parent/ Guardian's Information

Parent/ Guardian's Name *

Relation *

Cell Phone *

Email

Child Information

Parent/ Guardian's Information

Section

Verification