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The Youth Empowerment Center
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Summer Register
Aftercare Registration
About
Enrichment Programs
Contact
After School | School Break
Empowerment Event Studio
Summer Register
Aftercare Registration
About
Enrichment Programs
Contact
After School | School Break
Empowerment Event Studio
2025-26 Before/After-Care Registration Form
Parent First Name
*
Parent Last Name
*
Student's Name (1st child)
*
Student's Name (2nd Child)
*
1st Student's School & Grade
*
2nd Student's School & Grade
*
1st Childs Birthday
*
Month
Month
Day
Year
2nd Child Birthday
Month
Day
Year
Email
*
Phone
*
Address
*
Additional Information (Example) Additional Child Name, DOB,
*
Fall 2025 - Before / After School Care Payments list
REGISTRATION ONLY Fall 2025 Before/After School Care
$
90
2025 After-School Care ONLY (2pm-6pm) weekly
$
85
2025 Before School Care ONLY (6am-8am) weekly
$
85
BOTH Before & After Care (6am-8am) & (2pm-6:30pm)
$
155
2nd child BOTH Before & After Care (6am-8am) & (2pm-6:30pm)
$
150
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Submit
Summer Register
Aftercare Registration
About
Enrichment Programs
Contact
After School | School Break
Empowerment Event Studio
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