ST. FRANCIS OF ASSISI ROMAN CATHOLIC PARISH
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Request for Information
After School Online Registration Form
*
Indicates required field
Child's Name
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First
Last
Grade
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Child's Name
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First
Last
Grade
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Mother's Name
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First
Last
Work Phone Number
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Cell Phone Number
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Father's Name
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First
Last
Work Phone Number
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Cell Phone Number
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List those who have your permission to pick up the child/children. We will use these phone numbers for emergencies also.
Name
*
First
Last
Relationship
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Work Phone Number
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Cell Phone Number
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Name
*
First
Last
Relationship
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Work Phone Number
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Cell Phone Number
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Days Attending
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Monday
Tuesday
Wednesday
Thursday
Friday
Weekly Pick Up Time
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One Need Pick Up Time
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My child/children will be dropped off at the St. Francis After School Program by
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Bus
Car
Walker
Early Childhood Center
Allergies
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$5.00 per hour per child
$10.00 per hour per family
$10.00 application fee due upon registration. Send in your $10.00 fee on completing this online application to the Early Child Hood Center, 70 Adam Street, Tonawanda, NY 14150
***Please Note*** A late fee charge of $5.00 for every 15 minutes past 5:30 in cash due at time of pickup.
For more information, call the school at 692-7886, or email
babcock@stfrancistonawanda.org
Submit