JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
After Care@PKS - Registration Form
Please use this form to register your child for After Care at Portland Kinderschule on
Afternoons, 1-3pm
Tuition: $24 per afternoon (2 hours)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Enrollment Date(s)
*
October - December 2019
January - March 2020
April - May 2020
Required
Enrollment Days
*
Tuesday
Thursday
Required
I am interested in other afternoons:
*
Monday and Wednesday
Monday
Wednesday
Family Name:
*
Your answer
Parent / Guardian 1:
*
Your answer
Parent / Guardian 2:
*
Your answer
Street:
*
Your answer
City, State, Zip Code
*
Your answer
Phone (during school):
*
Best phone number to reach you while school is in session
Your answer
Phone (during evening):
*
Your answer
Alternate E-mail:
If you would like to receive updates, notifications and school related information to additional e-mail addresses, please enter here:
Your answer
Next
Page 1 of 7
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
