Student Hires After School

Program Participant Enrollment

To complete your registration process, please complete the enrollment form below for each program participant. You must submit the form individually for each student you wish to register. For any questions or concerns, please email

Student Hires After School Program Registration
  • Submitter Info
  • Program Info
  • Student Info
  • Parent Info
  • Authorized Releases
  • Waivers and Disclosures
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Who is submitting this application?

Full Name
Full Name