ASEDP Registration 2023-2024
Please complete this form to register your child for Oak Grove Elementary's After School Extended Day Program. After you have completed the form you will receive a copy of your registration and your child can attend the program. We will have additional information at the "check out" table on the first day of school. Thank you. 
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Email *
Child's First Name *
Child's Last Name *
Grade *
Allergies *
2nd Child's Name
Grade
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Allergies
3rd Child's Name
Grade
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Allergies
4th Child's Name
Allergies
Grade
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Name: Parent Contact #1 *
email address *
Work Phone Number: Parent Contact #1 *
Cell Phone Number: Parent Contact #1 *
Name: Parent Contact #2
Work Phone Number: Parent Contact: #2
Cell Phone Number: Parent Contact #2
Additional Authorized Pick Up #1 *
Cell Phone Number *
Additional Authorized Pick Up #2
Cell Phone Number
Additional  Authorized Pick-Up #3
Full  Time or Emergency Drop In *
A copy of your responses will be emailed to the address you provided.
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