South County Middle School After School Program Registration Form 2023

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South County Middle School After School Program Registration Form 2023 - 2024.

Student Last Name *

Student First Name *

Student ID Number *

Student's fcpsschools.net email address (Student'sID#@fcpschools.net) *

Student Grade *

7th Grader

8th Grader

Required

Student Address *

Parent First Name

Parent Last Name *

Parent email *

Parent Phone Number *

Students understand & agree to follow the FCPS Students Rights & Responsibilities while participating in SCMS'S After School Program. *

Yes, I agree

Required

I hereby grant permission for my child to participate in the South County Middle School After School Program. *

Yes, I agree

Required

Identification of Army Connect Students

If parent /guardian is serving in the U.S. Army as Army active duty, activated Army Reserve, or activated National guard please check here. Army Youth Program in Your Neighborhood (AYPYN) provides SCMS ASP with much needed funding and support to help our program make available high-quality after school activities for all middle school students. In order to continue this partnership, we must document the number of U.S. Army youth in our program each year.

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