203 Antilles Ct.Wilmington NC 28405

910-392-1080

2026/27 After School

$50.00 – $935.00

How often do you want to be billed?
How many children
Number of days per week?	Clear

*What School?

*Days of week attending

Monday

Tuesday

Wednesday

Thursday

Friday
Child #1

*Child Name

*Gender

*Grade Level 26/27
Child #2

Child Name

Gender

Grade Level 26/27
Child #3

Child Name

Gender

Grade Level 26/27
Parents

*Parent #1 Name

*Parent #1 Phone Number(s)

*Parent #1 Email

*Parent #1 Address

Parent #2 Name

Parent #2 Phone Number(s)

Parent #2 Email

Parent #2 Address
Additional

Additional Authorized People to Pick Up

Additional Email Addresses

Special Instructions or Medical Concerns

*May we share your contact information with other Off The Wall parents for birthday parties, etc?

Yes

No

*May we include your child in group photos on social media (Facebook, Instagram)?

Yes

No
*How often do you want to be billed?

*How many children

*Number of days per week?

Reset options

SKU: N/A Category: After School Program