Saint Catherine  of Siena School
FAITH • ACADEMICS • COMMUNITY

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After Care Registration & Payment Form

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St.Catherine of Siena After School Program Registration Form

Please complete the form below. Required fields marked with an asterisk *

If you have any questions, please email [email protected] or [email protected].

Parent/Guardian - Contact Information
 
Parent/Guardian #1
Address
State
Answer Required
Parent/Guardian #2
Address
State
Answer Required
Days Attending*
Please select all that apply
Answer Required

The following people are permitted to pick up my child/children.

Emergency Contact Information #1

Emergency Contact Information #2

Medical Release Information
Registration Fee
one time registration fee
Answer Required
Confirmation Email