AS Program Registration

Fall 2022 After-School Program Registration

To register for programs please complete the registration form below by Monday September 19. Details on each program can be found in our Fall Program Guide, including start dates, descriptions and class size limits. All After-School Programs are free of charge and include a healthy snack.
Student Name *

First Name Last Name
Grade *
Teacher *
Allergies/Concerns
Parent/Guardian E-mail *
example@example.com
Phone Number *

Area Code Phone Number
Alternate Number

Area Code Phone Number
Would you like a phone call if your child is not in attendance? *

Yes No
Does student have permission to walk home alone? *

Yes No
Do you consent to having your child's photo taken to be used in CCSS promotional materials (website, social and print media) *

Yes No
Please select up to 3 program choices. Registration will take place by random draw (not on a first come, first serve basis)
1st Program Choice *
2nd Program Choice
3rd Program Choice
You will receive an EMAIL to confirm which program your student is registered in.

Due to high demand and limited space, we are not able to accommodate all students in a program of their choice.
CCSS gratefully accepts donations which help to cover instructor wages and supplies. Charitable tax receipts are issued for all donations. Donations can be made online (Click here), by e-transfer to ccss.coordinator@gmail.com or by cash/cheque made payable to CCSS.
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Fall 2022 After-School Program Registration