Rez Site 2022-23 AFTER SCHOOL Interest Form

Please complete the interest form below, and we will reach out to you asap! (Please complete 1 per child)

Parent's First Name *

Parent's Last Name *

Child's First Name *

Child's Last Name *

Child's Birthday * +

Grade: *

Which school does your child attend? *

Other School: (Must be dropped off at the center after 2:30) *

Phone Number *

Email Address *