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2020 APPLICATION

PROGRAM
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PARENT/GUARDIAN INFO
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PERSONS (AGE 16 OR OLDER) AUTHORIZED FOR PICK UP OTHER THAN PARENT
EMERGENCY CARE INFORMATION
IF APPLYING FOR AFTERSCHOOL, MAKE FINE ARTS SELECTION!
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Note that the Family Educational Rights and Privacy Act is a Federal law protecting student education records privacy. Parents have the right to inspect their child's records and request that errors be corrected.

ACKNOWLEDGEMENTS
I Understand That My Child Is Required To Maintain An 80% Attendance Rate.
I Understand That Proof Of Income Will Be Required For Scholarships.
I Agree That The Agency May Authorize A Doctor Of Its Choice To Provide Emergency Care If I Nor The Family Doctor Can Be Contacted.
I Give Permission For Use Of My Child's Photo And/Or Likeness In Media Related To The Program.

What We Do

Programs

Academics and the Arts are rooted in all we do. Check out our programs.
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Events

If beauty is in the eye of the beholder, BEHOLD our upcoming and past events!
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Volunteer

Want a closer brush with Charlotte CSA? Sign up to volunteer and we'll put your talents to good use.
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Partners