St. Patrick's After School Program Registration

St. Patrick's After School Program

Step 1 of 2

Child's Information

Child's Name(Required)
MM slash DD slash YYYY
IF DOING MULTIPLE DAYS SELECT THE OTHER DAYS
Preferred Language(Required)

Parent Contact Information

How did you hear about us?(Required)
Child Insurance(Required)
Does your child have their own insurance policy?

Program Selection

PROGRAM SELECTION(Required)
Please select which program you would like to enroll your child in.
Uniforms(Required)