SDMS After School Academy Session 2
SDMS Session 2 of Afterschool runs from January 6th-March 5th. Monday-Thursday 2:30-4:30. Please fill out the form below to register your child for SDMS Afterschool Academy. If you receive an error message when submitting, that indicates the activity is full. Space is limited and it is first come first served. If you have questions please contact Mr. Haines at crhaines@worcesterk12.org.
Student Information
Student Last Name
*
Student First Name
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mode of Student Transportation:
*
Bus Rider
Car Rider
Walker
Parent/Guardian's Information
Parent/Guardian's Name - Primary
*
First Name
Last Name
Parent Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Class Offerings
Monday
*
Tuesday
*
Wednesday
*
Thursday
*
Parent Name
*
Parent/Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: