After-school with pick up - Registration
    1. Student Name

    2. Parent Name

    3. Address

    4. City

    5. Province

    6. Phone Number

    7. Email

    8. Note

    9. Preferred Contact Method EmailPhone

    10. Drop-down menu

    11. Checkboxes Option 1Option 2Option 3

    12. Signature, please sign in the box below

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