JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Afterschool Registration Form
Please complete this form for each student you will be registering for the Afterschool program.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Student Information
Student's Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Grade Level
*
Transitional Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
List any Allergies, Chronic Illnesses, or Medications
*
Your answer
Parent/Guardian information will be pulled from the Student Information System. This will include emergency contact, pick-up, and medical information. Is there any additional information you would like to add?
Yes
No
Clear selection
Next
Page 1 of 4
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hillsborough Christian Academy.
Report Abuse
Forms
