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Afterschool Care Registration
Student First Name
*
Student Surname
*
2022-23 Year Group
*
🛈
Pre-Nursery (PK2)
Nursery (PK3)
Reception (PK4)
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Afterschool Care Options
*
Monthly (all school days)
Daily Rate (choose days below)
Post-Club (choose days below)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Full Afternoon (3:20-6 p.m.)
Monday
Tuesday
Wednesday
Thursday
Friday
Post Club (4:30-6 p.m.)
Monday
Tuesday
Wednesday
Thursday
Friday
Add additional students (up to 5 additional)
*
Yes
No
2nd Student First Name
*
2nd Student Surname
*
2nd Student Year Group
*
🛈
Prenursery (PK2)
Nursery (PK3)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
3rd Student First Name
3rd Student Surname
3rd Student Year Group
🛈
Prenursery (PK2)
Nursery (PK3)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
4th Student First Name
4th Student Surname
4th Student Year Group
🛈
Prenursery (PK2)
Nursery (PK3)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
5th Student First Name
5th Student Surname
5th Student Year Group
🛈
Prenursery (PK2)
Nursery (PK3)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
6th Student First Name
6th Student Surname
6th Student Year Group
🛈
Prenursery (PK2)
Nursery (PK3)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Parent First Name
*
Parent Surname
*
Phone Number
*
Parent Email Address
*
By signing and submitting this form, I authorize my child(ren) to be added to the Acorns & Oaks afterschool program for the 2022-2023 academic year. I understand I will be invoiced monthly by the BISW Finance department for these services.
Digital Signature
*
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