After School Program Enrollment Form

Please complete and submit one form per student being enrolled in the After School Program.

Parent's Name*

First NameLast Name

Parent's Phone Number*

Area CodePhone Number

Parent's Email*

Student's Age*

Student's Name*

First NameLast Name

Grade:*

Gender*

FemaleMale

Homeroom #:*

Level of Experience with Foreign Language*

BeginnerIntermediateAdvanced

Language of Choice*

SpanishMandarinESL

Please describe the area where your child needs most support with language learning.

Special instructions? (IEP's, Allergies, etc.) Please be as specific as possible.*

Please specify each person, including the name of parents, who has permission to pick up your child from the After School Program.

Authorized Person to Pick Up:*

First NameLast Name

Authorized Person to Pick Up:

First NameLast Name

Phone #*

Emergency Contact Person:*

First NameLast Name

Phone #*

How did you hear about us?*

Photo/Video Release: I hereby allow Bilingual Kids to use my child's picture, face, or likeness in advertising for the sole purpose of promoting the Bilingual Kids program. I understand that this would be on print, online, and/or video images of in-program activities.*

YesNo

Signature*

Parent/Guardian Consent: I hereby release Bilingual Kids from any and all liability arising out of my child's participation in this program. I assume all risks associated with this activity. In case of illness, I authorize a representative of Bilingual Kids to obtain immediate care deemed necessary by licensed medical personnel. I have read and fully understand these terms and I sign it voluntarily.*

I Agree

My Products

Foster Elementary Spring Session$180.00

6 Weeks Session | Every Tuesday| 2:15PM - 3:15PM | April 7 , 2026 to May 12, 2026 |

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Foster Spanish Club After School Program Registration Form