St. Therese Academy After School Program

After School Program

Students must be enrolled in the school-semester in order to participate.
School Location*

St. Therese Academy
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Grade*
Allergies*
Siblings

1234
Sibling's Name

First NameLast Name
Sibling's Birthday

MonthDayYear
Date
Grade
Allergies*
Do you have any questions or concerns?*
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Email*
example@example.com

My Products

St. Therese Academy$220.00

REGISTRATION FEE of $200 will be collected by STA via FACTS and will be due a week prior to the class start!! Session 1: Global Celebrations, Thursdays 3:30-5PM: Sept 11, 18, 25, Oct 2, 9, 16 Session 2: Taste the Spectrum, Thursdays 3:30-5PM: Oct 22, 30, Nov 6, 20, Dec 4, 11

Quantity

St. Therese Academy $200.00

Quantity

Enter coupon

Total $0.00

Enter sib10 for sibling discount of 10% above

After School Program

Informed Consent and Acknowledgement