Prime Time Out-of-School Time Registry Transcript Request
Registry Orientation Section
Date of Request
What is your full name?
Name of your current out-of-school time employer?
What is your phone number?
What is your work email?
What is your personal email?
What is your date of birth?
What is your address?
Prime Time Palm Beach County, Inc. receives significant funding from the Children's Services Council of Palm Beach County
Contact Information