South End 21: After-school Program Interest Form

South End 21 Interest Form

Please complete this form if you are interested in after-school opportunities for your child attending Bester Elementary School or E. Russell Hicks Middle School.

School*
Select after-school program location.
Student First and Last Name*
Please enter the student's first and last name
Grade*
Teacher
*Bester Elementary School students ONLY*
Parent First and Last Name*
Please provide your first & last name
Contact Information*
Please provide your contact information (home phone, cell phone, or email address) so we may connect with you.
Name
This field is for validation purposes and should be left unchanged.