Sculpting Basics After School Club “Cartoon Characters 101”

Participant #1 Information

First Name

Last Name

Date of Birth

Gender Select an option...MaleFemale

Grade Select a grade...Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade

Homeroom Teachers Name

How will child get homeSelect an option...Car/CarpoolTake to regular ASP

Name of person(s) Authorized to pick-up

Additional Needs (Food Allergies, Pick-up Routine, , etc…..)

After School Program StatusSelect an option...Not Enrolled in school’s ASP ProgramCurrently Enrolled in school’s ASP Program