Yong-In After School Registration 2019-2020
Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
School Name *
Student's Grade *
Birth of Date *
MM
/
DD
/
YYYY
Track / Traditional *
Any Allergies, Medications, Conditions or Physical Limitations
Insurance Carrier // Policy Number *
Parent’s(Guardian) Name *
Parent’s(Guardian) Name * *
Address *
Phone *
Email Address *
Emergency Contact (Name & Phone#) *
Guardian or Alternative Pick up Info (Name & Phone Number)
Schedule and Teachers may change without notice
By signing this registration, I understand that I am agreeing to all policies and procedures for YONG-IN’s Programs. This policies and procedures are listed on the back of this registration form. I also understand that my child is in agreement with the YONG-IN Rules and Regulations. My signature will also serve as permission for YONG-IN to transport my child to and from school.
Parents or Guardian's Sign
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms