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2022-23 School Year Interest Form
Please complete the form below to be notified when '22-'23 after school registration is available!
Parent's First Name
*
Parent's Last Name
*
Number of Children
*
1
2
3
Child's First Name
*
Child's Last Name
*
Child's Birthday
*
+
Grade:
*
K
1st
2nd
3rd
4th
5th
Which school does your child attend?
*
Pearl Schools
Brandon Schools
Flowood Elem.
Highland Bluff
Northshore
Northwest Rankin Elem.
Oakdale Elem.
Northshore Elem.
Florence Elem. / Steen's Creek
McLaurin Elem
Richland Elem/Upper
Other*
Child's First Name
*
Child's Last Name
*
Child's Birthday
*
+
Grade:
*
K
1st
2nd
3rd
4th
5th
Which school does your child attend?
*
Pearl Schools
Brandon Schools
Flowood Elem.
Highland Bluff
Northshore
Northwest Rankin Elem.
Oakdale Elem.
Northshore Elem.
Florence Elem. / Steen's Creek
McLaurin Elem
Richland Elem/Upper
Other*
Child's First Name
*
Child's Last Name
*
Child's Birthday
*
+
Grade:
*
K
1st
2nd
3rd
4th
5th
Which school does your child attend?
*
Pearl Schools
Brandon Schools
Flowood Elem.
Highland Bluff
Northshore
Northwest Rankin Elem.
Oakdale Elem.
Northshore Elem.
Florence Elem. / Steen's Creek
McLaurin Elem
Richland Elem/Upper
Other*
Other School: (Must be dropped off at the center after 2:30)
*
Phone Number
*
Email Address
*
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