New Child Registration Form
After School Program
Child Details:
Legal Name
*
First Name
Last Name
Date Of Birth
*
/
Month
/
Day
Year
Ages 3-17 Only
Which location are you registering for?
*
Do you need to register another child?
*
Yes
No
Back
Submit
Next
Legal Name
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Ages 3-17 Only
Do you need to register another child?
Yes
No (If no, still click next and hit submit)
Back
Next
Legal Name
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Ages 3-17 Only
Submit
Should be Empty: