2022-23 Afterschool ENROLLMENT FORM
This application is for a free, grant funded afterschool program at your child's school.  The program runs for 3 hours daily after the school bell rings, Monday - Thursday.  We are open on days that the school is open and are not a replacement for daycare services.  The CFYCD afterschool program is academically focused, assisting children with group homework help and hands on learning activities.  We look forward to serving in your school for 36 weeks this school year.  Thank you for registering your child!

Sign in to Google to save your progress. Learn more
Email *
Student's Full Name *
Student's Full Home Address *
Student's Age
Student's Date of Birth *
MM
/
DD
/
YYYY
School Name *
Teacher's Name
Student's Grade *
For the 2022-23 school year which days will the student attend the afterschool program. (select all that apply) *Students attending all 4 days will be given priority for enrollment in the event of a waiting list with the possibility of loss of enrollment in preference of students who are able to attend all 4 days.  Special exceptions may apply. *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Collaborating for Youth. Report Abuse
Google Forms