Detroit After School Fun Centers Program Application - Multiple Children

A partnership of the Detroit Parks and Recreation Department & Detroit Public Schools Community District

1. Participation conveys the privilege of program involvement for scheduled activities.

2. Participation may be revoked due to any of the following: a) Criminal Activity; b) Refusing to comply with Program Rules; c) Continued disruptive behavior; d) providing false information on application.

(proof of identification required)

(please provide school name). I acknowledge that my child is in good health and assume responsibility for his/her state of health.

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