Extracurricular French Class Registration Form

Extracurricular French Class, Homework & Theatre Arts Registration Form
Student Information

to enroll in L'École Française d'Altadena
Name of Child

First NameLast Name
Is French spoken in the home?

Oui! (Yes!), one or both parents are French speakers.Non (No).We speak another language in the home, other than English.Other
DOB (Date of Birth of Child)

MonthDayYear
Date
Grade Level for 2025-2026
School Attending for 2025-2026
Teacher's Name and Email Address
Please state a request on administration of medicines: (1) Does your child have an allergy? (2) Does your child have an EPI Pen or need certain medications. (3) Please let me know if your child can receive any (OTC) over-the-counter medications if a fever is expressed. (4) What is your preference if there is a fever if you do not wish for administration of OTC medications such as Tylenol or Advil or Benedryl?
Primary email for Student (for Newsletters and Studio information)
example@example.com
Phone Number for day-to-day emergencies & questions
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
In case of emergency, the Parent/Guardian will be contacted based on the information below:
Mother/Parent

First NameLast Name
Father/Parent

First NameLast Name
Primary Phone Number
Secondary Phone Number
Primary Email
example@example.com
Secondary Email
example@example.com
(1) Please state explicitly how you want to be reached if there is an emergency. (2) Please state also what email we may use for newsletters and marketing.
Extracurricular Activities
REMINDER: Select the sessions your wish for your student to attend. Rate is $300 per month regardless of how many days. The only exception is if you only want 1 day. The rate for one day per week is $100 per month. (Contingent on needs and circumstances, these rates can be modified.)
Mondays - AFTER -SCHOOL

Allendale School Campus, Allendale Park & Field for homework & play (12:30pm-5:30pm)I need a late pickup (6:00 pm)I may request one-on-one tutoring.Other
Tuesdays - AFTER -SCHOOL

Allendale School Campus, Allendale Park & Field for snacks, homework & play (2:15pm-5:30pm)I need a late pickup (6:00 pm)I may request one-on-one tutoring.Other
Wednesdays - AFTER -SCHOOL

Allendale School Campus, Allendale Park & Field for snacks, homework & play (2:15pm-5:30pm)I need a late pickup (6:00 pm)I may request one-on-one tutoring.Other
Thursdays - AFTER -SCHOOL

Allendale School Campus, Allendale Park & Field for snacks, homework & play (2:15pm-5:30pm)I need a late pickup (6:00 pm)I may request one-on-one tutoring.Other
Fridays - AFTER -SCHOOL

Allendale School Campus, Allendale Park & Field for snacks, homework & play (2:15pm-5:30pm)I need a late pickup (6:00 pm)I may request one-one tutoring.Other
Does the child currently commit to other activities outside school? (e.g., music class, math class, sports)

YesNo
If yes, please list them below:
REMINDERS:
- If the student will participate in these activities, they should still meet the after school standards in terms of behavior, attitude, and friendliness.
- Students who registered in these activities must attend these programs as per schedule. Exceptions are permissable. However, no credits can be given for unused or skipped sessions.
- If child is sick, please do not let them attend the sessions. As such, there is no credit for skipped sick days.
- A waiver from parent/guardian is needed to complete this registration.
Parent/Guardian Signature

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Extracurricular French Class, Homework & Theatre Arts Registration Form

Student Information

Parent/Guardian Information

Extracurricular Activities