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Reservoir Site- Summer 2025 Wait List
Please complete one form per child. We'll get in touch with you ASAP if a spot opens up!
Parent's First Name
*
Parent's Last Name
*
Child's First Name
*
Child's Last Name
*
Child's Birthday
*
+
Grade (COMING OUT OF):
*
Into K
K
1st
2nd
3rd
4th
5th
Which school does your child attend?
*
Flowood Elementary
Highland Bluff Elementary
Northshore Elementary
Northwest Rankin Elementary
Oakdale Elementary
Other
Phone Number
*
Email Address
*
New family or Currently/Previously enrolled?
*
Current After School family
Previously enrolled family
New family
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