OPMI is working with APV to bring our enrichment filled "TRIPLE A" (Academics, Athletics, and Arts)
AFTER-SCHOOL PROGRAM
to YOUR community!

Exciting program features would include Academic Tutoring, Sports, Swimming, and various arts enrichment activities including but not limited to
Piano, Guitar, Art, Theater, and more!

Our program would tentatively operate from school dismissal time until 6:00pm, 5 days a week, with an extended care option until 7pm (for an additional fee).

Please fill out the interest form below if this is something your family would like to see within your community.

APV After School Program Interest Form

Please note that all fields followed by an asterisk must be filled in.

Parent/Guardian First Name*

Parent/Guardian Last Name*

E-Mail Address*

Home Phone

Would you be interested in an After-School Program held at APV?*

	YES
	NO

How many children would be attending?*

What Grade is you child(ren) in?*

What School does your child(ren) attend?*

What is your child's school dismissal time?*

Is your child(ren) currently in an After-Care program?*

	YES
	NO

If Yes, please provide input on why you would like them to switch to our After-Care program.

Does your child(ren) have school bus transportation from school to APV*

	YES
	NO, my child would need transportation

Would you need extended care hours after 6:00pm?*

	YES
	NO

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