After School Program Fall 2013 Registration

**Busing from Basswood is now FULL. You may still register for the After School Program without transportation or 
for busing from Rush Creek.

* Required




Female
male














Yes - I understand I will be contacted by Heather Hjelmstad - Ministry of Inclusion Coordinator
No



Yes
No








I agree
I disagree

I agree
I disagree
Registration is not complete without payment. When you click submit, you will be brought to the e-pay page. Cost is $80 per child for those using transportation from Rush Creek or Basswood and $70 per child for those providing their own transportation. Full and partial scholarships are available. Please contact Pastor Todd at todd@lordoflife.org.