AFTER-SCHOOL REGISTRATION FORM 2019

1st Childs Name *
1st Childs Name
2nd Childs Name
2nd Childs Name
Mother/Legal Guardian Name
Mother/Legal Guardian Name
Mother/Legal Guardian Phone *
Mother/Legal Guardian Phone
Father/Legal Guardian Name
Father/Legal Guardian Name
Father/Legal Guardian Phone
Father/Legal Guardian Phone
Address
Address
Please list the names and phone numbers for persons authorized to pick up registered child.