After School Program Registration

Take the first steps of enrolling your child into the Marshall’s Active Program of your choice by completing online application below. Your application will be reviewed and we will contact you with more details.

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

Childs Name *

Birth Date *

Parent's Name *

Primary Number

Cell Number

Emergency Contact *

Relation to participant

Mailing Address *

Email Address *

Medical Risks or Allergies *

If yes specify below

Health Card Number *

School your child attends and grade

Buy Maps Gear

Lifemaps In Action

Meet The Squad