Afterschool Re-Enrollment Request

Please Note:

Deadline to submit re-enrollment is one week prior to start.

A confirmation email will be sent to the email provided below once the re-enrollment has been processed.

First & Last Name:

Email Address:

Home Phone:

Address:

Address 2:

City:

State:

Zip Code:

Cell Phone Number:

Child(rens) Name(s)

After School Care Location:

Returning Date?:

*In order to re-enroll, your child must be previously enrolled during the current school year.