AfterSchool Application | Creative Stage

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Child’s First Name

Child’s Last Name

Date of Birth

Email Address

Phone

What school does your child attend?

Start Date

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

PARENT OR GUARDIAN

PARENT OR GUARDIAN

ADDRESS [IF DIFFERENT FROM ABOVE

ADDRESS [IF DIFFERENT FROM ABOVE

Phone

Phone

Care Required

Before Care

After Care

Mon

Tue

Wed

Thu

Fri

What grade is your child in?

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2024-2025

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