Registration Form for Clubs 2022

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This Session will run from September 12 - December 17 --------------- 3:15 pm - 4:15 pm

- Enrollment in After School Clubs Program is limited based on space availability
- Submit one form per child (you may always resubmit to add additional clubs at a later time)
- Filling this registration form does not guarantee that your student will be accepted.
- You will receive a registration status email within 72 hours of submission to the e-mail you provided.

PLEASE NOTE:

This form will NOT submit if required questions are left blank. Required questions will have a red star next to them.

Parent/Guardian first and last name *

Please enter your phone number *

Please enter your email. ***This will be our main point of contact*** *

Emergency contact name *

Emergency contact relation to student/s *

Emergency contacts phone number *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Jefferson County Public Schools. Report Abuse

Forms