INTEREST FORM

This form requires you to enter personal information. If entering information using public Internet (such as in a public library setting), please make sure to fully exit out of the browser to ensure your information remains private.

This form indicates your interest in enrolling your student for the SY 2026-2027 (If you are enrolling for the current school year, please be sure to select 25-26.) Harriet Tubman Village Charter after school program. Please complete one interest form per student. Submitting this intent to enroll form DOES NOT guarantee enrollment. For questions on completing the form, contact Samantha Moreno at smoreno@tubmancharter.org or 619-668-8635 x5555.

All fields are REQUIRED, unless noted by an (*) ASTERISK.