After School Enrichment Program

After School Enrichment Program

Student Details*




MaleFemalePrefer Not To SayOther

Nature of Registration*

ConfirmedTentative (Provide comments below)

Parent Details*



FatherMotherGuardianOther




After School Enrichment Program Details:

Preferred Progaram

Preferred Days

Preferred Time

Camp Courses #

MONTUEWEDTHUSFRI