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PARK DISTRICT INFORMATION

School Program Info Form

Before and After School Programs 

CARE/Campus Clubs/After School Clubs

Welcome to our Beyond the Bell programs! We’re looking forward to great session with your child. Please fill out this form completely and it will be sent to the program supervisor. If you have multiple children, please fill the form out once per child. If you have any changes to your information throughout the school year, please email the program supervisor. Thanks!

~Wilmette Park District

    What program is your child registered for?

    Participant Information

    Parent / Guardian Information

    Emergency Contact

    List any additional people approved to pick up your child

    Is anyone restricted from picking up your child

    Additional Programs Details

    Sign and Submit

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