Child's Last Name
Child's First Name
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Current Grade
Pre-KKindergarten1st2nd3rd4th5th6thSchool Currently Attending
YESNOI am enrolling my child in Before & After School Care
Street Address
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State
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Parent/Guardian Contact
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Best time to contact you
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*Please note that your child will not be fully registered until all necessary paperwork and payments are received. Please feel free to give us a call or email us at 281-493-3700 or wtervin@yahoo.com with any questions or concerns!
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