Youth Enrichment Center- Busing Youth Enrichment Center Busing Name of Parent* First Last Phone*Email* Name of Student*Grade*KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Name of School*Dismissal Time*Would you like to register another child?* Yes No Name of Student*Grade*KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Name of School*Dismissal Time*Emergency Contact at SchoolName* First Last Phone Number*CommentsBusing* Price: $150.00 Busing* Price: $100.00 Total $0.00
