2025-2026 After-School Application

2025-2026 After School Application (ID #7233)
Step 1 of 5

STUDENT INFORMATION

Name of student
A separate application must be completed for each student.
Date of birth
Your student’s Identification Number can be found on his/her report card. Please also ask your student. This is their school lunch number. (If you do not know your child’s ID#, please type 999-9999)
Hispanic or Latino is a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Select all that applies.
Ex: Private insurance, KidCare, Medicaid.
For assistance Dial 211 or visit www.thechildrenstrust.org
Select all that applies.
Address
Select all that applies.