Most Holy Rosary School

After-School Care Form

Thank you for your interest in Most Holy Rosary Elementary School’s After-School Care program! To ensure your child can participate in the program, please complete the form below.

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Parent/Guardian Name

First

Last

Home Address

Parent/Guardian Cell Phone Number

Parent/Guardian Work Number

Please list the people authorized to pick up your student(s).

In case of emergency and parents cannot be reached, please contact:

Please list the first and last names of students you want to enroll in the After-School Care program.

Comments or Questions