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TRACK OUT PROGRAM

Registration form

Parent / Guardian's First Name

Parent / Guardian's Last Name

Parent / Guardian's Email Address

Parent / Guardian's Phone No.

Parent / Guardian's Physical Address

- - - - -

Student's First Name

Student's Last Name

Student's Home address

Student's Age

Student's Grade

Select Schedule

After School Program ( MONDAY )

Operating from school dismissal until 6 p.m. - Students must be picked up by 6pm$20

After School Program ( TUESDAY )

Operating from school dismissal until 6 p.m. - Students must be picked up by 6pm$20

After School Program ( WEDNESDAY )

Operating from school dismissal until 6 p.m. - Students must be picked up by 6pm$20

After School Program ( THURSDAY )

Operating from school dismissal until 6 p.m. - Students must be picked up by 6pm$20

After School Program ( FRIDAY )

Operating from school dismissal until 6 p.m. - Students must be picked up by 6pm$20

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