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CVSU Afterschool 2019-20 Registration
Please complete this form only ONCE per school year unless your child's information has changed.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student's Date of Birth:
*
MM
/
DD
/
YYYY
Student's Mailing Address:
*
Your answer
Student's School for the 2019-20 school year:
*
NES
NMS
OCS
RVS
WES
WMS
WVS
Other:
What grade will your child be in during the 2019-20 school year?
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Name of Parent/Guardian:
*
Your answer
Parent's Mailing Address (if different from Student's):
Your answer
Parent's Home Phone:
Your answer
Parent's Cell Phone:
Your answer
Parent's Work Phone:
Your answer
Parent's Email Address:
Your answer
2nd Parent/Guardian's Name (if applicable):
Your answer
2nd Parent/Guardian's Address (if different from Student's):
Your answer
2nd Parent/Guardian's Home Phone:
Your answer
2nd Parent/Guardian's Cell Phone:
Your answer
2nd Parent/Guardian's Work Phone:
Your answer
2nd Parent/Guardian Email
Your answer
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