New Field Tuition Based After School Program Parent NameNombre del padre Question Title * 1. Parent NameNombre del padre OK Student NameNombre del estudiante Question Title * 2. Student NameNombre del estudiante OK Grade LevelGrado Question Title * 3. Grade LevelGrado Kinder First/ primero Second/ segundo Third/ tercero Fourth/ cuarto OK I am interested in tuition after school programsEstoy interesado en un programa de cuota Question Title * 4. I am interested in tuition after school programsEstoy interesado en un programa de cuota 5 days per week / 5 dias cada semana 2-3 days per week/ 2-3 dias cada semana 1 day per week/ un dia cada semana OK My child is currently enrolled in another after school fee based program:Mi estudiante esta en un programa de cuota en otro lugar Question Title * 5. My child is currently enrolled in another after school fee based program:Mi estudiante esta en un programa de cuota en otro lugar Yes No OK What is your primary email address?su correo electronico Question Title * 6. What is your primary email address?su correo electronico Address 1 OK I can financially commit to paying $80.00 per week for five days of aftercare for the full school yearPuedo comprometerme a pagar $80.00 cada semana por un año escolar Question Title * 7. I can financially commit to paying $80.00 per week for five days of aftercare for the full school yearPuedo comprometerme a pagar $80.00 cada semana por un año escolar Yes No Other OK If other, what information do you need to share:Qué más información quiere compartir? Question Title * 8. If other, what information do you need to share:Qué más información quiere compartir? OK DONE