Aftercare Program Enrollment 2023-2024
Welcome to Nashville Christian’s Aftercare Program! It is our hope that your child will discover a happy place where extended learning and socialization is both challenging and satisfying. We will provide meaningful and enjoyable experiences for your child after school and ensure that you and your child feel secure and confident in the Aftercare environment.
Sign in to Google to save your progress. Learn more
Email *
Student's First Name *
Student's Last Name *
Student's Grade (2023-2024 school year) *
Student's Birthday *
MM
/
DD
/
YYYY
Parent's Name(s) *
Mother's Cell # *
Father's Cell # *
Allergies/Health Concerns *
Doctor's Name & Phone # *
Pick Up Person(s) Information (full name & phone number)- Please list anyone (other than parents) that has permission to pick your child up from aftercare. *
Alternate Emergency Contact- non-parent (Full name, phone number, & relationship to student) *
Choose Payment Plan- all plans added to FACTS acct. *
Payment Plan Conditions *
Required
Medical Emergency Authorization *
Required
Electronic Signature (by typing my name below, I agree to all the terms and conditions above) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Nashville Christian School. Report Abuse