After School Jewish Experience

Address*

School Attending*

Mirasol School PreschoolAllamanda Elementary SchoolMarsh Pointe Elementary SchoolTimber Trace Elementary SchoolDuncan Middle SchoolDwyer High School
Trimester Attending 2026-27* Marsh Pointe Elementary School, Fridays 2:15-3:15pm

First TrimesterSecond TrimesterThird Trimester
Trimester Attending 2026-27* Timber Trace Elementary School, Tuesdays 2:15-3:15pm

First TrimesterSecond TrimesterThird Trimester
Is your child staying in After Care after the club?*

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Please list here full name of adults that are approved for pickup*
Emergency Contact*
First Name Last Name
Emergency Contact Phone Number*
Suggested Donation $18

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