January After School Registration 2022 Please enable JavaScript in your browser to complete this form.Parent Name: *First / LastParent Email: *Parent Phone Number:( Area Code ) 555-555Child's Name: *First / LastGender: *MaleFemaleWhat will be the age of your child? *7 yrs.8 yrs.9 yrs.10 yrs.11 yrs.12 yrs.13 yrs.What month was your child born in? *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberStarting grade in September 2021? *Grade 3Grade 4Grade 5Grade 6NameSubmit
