CVSU Afterschool 2019-20 Registration

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Please complete this form only ONCE per school year unless your child's information has changed.

Student First Name *

Student Last Name *

Student's Date of Birth: *

AAAA

Student's Mailing Address: *

Student's School for the 2019-20 school year: *

NES

NMS

OCS

RVS

WES

WMS

WVS

Otro:

What grade will your child be in during the 2019-20 school year? *

1st

2nd

3rd

4th

5th

6th

7th

8th

Name of Parent/Guardian: *

Parent's Mailing Address (if different from Student's):

Parent's Home Phone:

Parent's Cell Phone:

Parent's Work Phone:

Parent's Email Address:

2nd Parent/Guardian's Name (if applicable):

2nd Parent/Guardian's Address (if different from Student's):

2nd Parent/Guardian's Home Phone:

2nd Parent/Guardian's Cell Phone:

2nd Parent/Guardian's Work Phone:

2nd Parent/Guardian Email

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