After School Program 2024-2025 – Al Huda Elementary School

Student Name*

First Middle Last

Student Grade & Section*

Parent Information

Primary Parent/Guardian's Email*

Secondary Parent/Guardian's Email

Phone Primary Parent/Guardian's Phone*

Phone Secondary Parent/Guardian's Phone

Emergency Contact Name*

First Last

Relation with student*

Emergency Contact Phone*

After School Care Fee

Price:

$185 per month

AHES After School Care Credit Card*

Card Details

Cardholder Name

Comments

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