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
Parent/Guardian Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I agree to receive text messages (SMS) from AV Foundation After-School Program about registration status, program updates, and next steps. Msg & data rates may apply. Reply STOP to opt out, HELP for help.
*
I consent
I do not consent
Which location are you registering for?
*
Do you need to register another child? If no, click submit.
*
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: