Clutch After-School

Clutch Afterschool club application form

Engaging

Our Clutch After School Club offers dynamic and interactive activities that keep school-aged children engaged and excited to participate after their school day ends.

Enriching

At Clutch After School Club, we provide enriching experiences that complement the school curriculum, fostering growth and development in a fun and supportive environment.

Empowering

Our program is designed to empower children, helping them build confidence, develop new skills, and form meaningful connections with peers and mentors.

Afterschool Application

Primary Contact*

What school does yout child attend

Primary Contact First Name

Primay Contact Last Name

Primary Contact Email

Primary Contact Phone

Secondary Contact*

Secondary Contact First Name

Secondary Contact Email

Secondary Contact Last Name

Secondary Contact Phone

Child 1*

Child 1 First Name

Child 1 Birthday

Child 1 Last Name

Child 1 Teacher

Child 1 Medical/Notes

Child 1 Interests/Hobbies

Child 2

Child 2 First Name

Child 2 Birthday

Child 2 Last Name

Child 2 Teacher

Child 2 Medical/Notes

Child 2 Interests/Hobbies

Child 3

Child 3 First Name

Child 3 Birthday

Child 3 Last Name

Child 3 Teacher

Child 3 Medical/Notes

Child 3 Interests/Hobbies

I understand this is just an application form and Clutch Academy will contact me regarding the outcome of this application.

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Clutch After-School

Afterschool Application

Primary Contact*

Secondary Contact*

Child 1*

Child 2

Child 3

Clutch Academy

Hours of Operation

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