After School - Student Interest

Student's name

First Name

Last Name

Student's stumail address

Parent/Guardian email address

What days are you thinking about going?

(Check all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

What times do you anticipate being there?

(Check all that apply)

3:10 - 4:00

4:00 - 5:00

5:00 - 6:00

Comments:

Are you looking for a place for your student to be on campus, after school is over and in between club meetings and/or practice?

We are working to create an After School program. We’re figuring out exactly what it will look like, but if you’re interested in learning more, leave us the student’s name and contact information.