After School Program Registration

Child 1 Full Name:

Teacher:

Grade:

Child 2 Full Name:

Teacher:

Grade:

Child 3 Full Name:

Teacher:

Grade:

Mother's Name:

Mother's Cell Phone:

Father's Name:

Father's Cell Phone:

Home Address:

Email:

Emergency Contact During ASP Hours:

Names and numbers of people who may pick up your child from ASP (other than parents):

Please list any health conditions/allergies your child may have. If Benadryl, epipen, inhaler or any other medications are used, we must have these each day with us in the ASP along with a copy of your child’s emergency care plan from the school office.

ADDRESS

Church Phone - 859-441-1352
School Phone - 859-572-2680

 

1803 N Ft Thomas Ave

Fort Thomas, KY 41075

 

church@stcatherineofsiena.org 

OFFICE HOURS

Parish Office Hours:

Mon- Fri. 9am -3pm 

 

School Office: 7:30am - 3:30 pm, Mon - Fri

during the school year

formed-logo.png
WeShare_Logo_Stacked.jpg

© 2023 by HARMONY. Proudly created with Wix.com