Kids Afternoon Program (KAP) ONLINE Registration

 

You are encouraged to complete the below online registration form to ensure the fastest processing of your application.

If you prefer, you may click here to open a blank PDF KAP Registration form (opens in a new browser tab), fill it out, and mail it to the ACRA office address as indicated at the bottom of the form.

Kids Afternoon Program (KAP) Registration Form

Kids Afternoon Program (KAP) Registration Form

Select a KAP Location
Select days of the week for KAP services

Student Information

Student's Name
Student's Name
First
Last
Current Grade

Parent or Guardian information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Would you like to add a second Parent's or Guardian's Information?

Additional Parent or Guardian Information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal

Who is allowed to pick up your child from KAP other than the parents or guardians listed above (must be 18 or older)

Name
Name
First
Last
Name
Name
First
Last
Name
Name
First
Last

Is there anyone excluded from picking up your child?

Exclude Persons from Pickup?

Indicate person(s) excluded from picking up your child from KAP

Name
Name
First
Last
Add another excluded person?

List the additional person excluded from picking up your child.

Name
Name
First
Last
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