Richmond Hill High School Registration (2025-2026)

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Thank you for your interest in SAYA's programming at Richmond Hill High School!

Questions about program offerings? Reach out to Dedunu.Suraweera@saya.org.

Questions about this registration form? Reach out to Monica.Chiang@saya.org.

Welcome to SAYA!
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To complete this form in English, please click 'NEXT' below.

Para completar esta solicitud en español, haga clic aquí para aprender como cambiar la configuración de su teléfono celular.

বাংলায় এই ফর্মটি পূরণ করতে, কীভাবে আপনার ফোন সেটিংস পরিবর্তন করবেন তা জানতে এখানে ক্লিক করুন।

ਇਸ ਫਾਰਮ ਨੂੰ ਪੰਜਾਬੀ ਵਿੱਚ ਭਰਨ ਲਈ, ਆਪਣੇ ਫ਼ੋਨ 'ਤੇ ਸੈਟਿੰਗਾਂ ਨੂੰ ਕਿਵੇਂ ਬਦਲਣਾ ਹੈ ਬਾਰੇ ਜਾਣਨ ਲਈ ਇੱਥੇ ਕਲਿੱਕ ਕਰੋ।

لإكمال هذا النموذج باللغة العربية، انقر هنا لمعرفة كيفية تغيير الإعدادات على هاتفك.
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Name* This field is required.
First Name
Last Name
4
Your preferred name (if applicable)
5
Your preferred pronouns (if applicable)
6
Phone Number* This field is required.
Please enter a valid phone number.
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Personal Email* This field is required.
example@example.com
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Date of Birth* This field is required.
Date
Month
Day
Year
9
Address* This field is required.
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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What is your 9-digit student OSIS number?* This field is required.
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Grade* This field is required.
Rising / Currently in 9th grade
Rising / Currently in 10th grade
Rising / Currently in 11th grade
Rising / Currently in 12th grade
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How did you hear about the club fair on Thursday, Oct. 9th?* This field is required.
Morning Announcements
E-mail
Hallway flyers
Lunchtime flyers
Town Hall/Auditorium flyers & announcement
My friend told me
A family member told me
A SAYA staff member told me
Another school staff member told me
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Did you participate in Richmond Hill High School's Summer Bridge program?* This field is required.
YESNO
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What year did you attend?* This field is required.
Please Select
Please Select
2024
2023
2022
2021
2020
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How do you want to be involved with SAYA?* This field is required.
Participate in SAYA clubs
Participate in SAYA events
Volunteer for SAYA events
Volunteer as a translator
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What clubs do you want to join?* This field is required.You can join as many clubs as you'd like. All clubs are FREE. If you have any other ideas for clubs, please share by selecting 'Other'. If you are interested in Community Service (such as what was previously the Red Cross club) or other clubs, please share in 'Other'.
Anime Club
Chai & Chutney Club
Debate Team
DJ Club
Fashion Club
Games Club
Lionettes Dance team
Peer Connections Club
Peer Mentoring
Siempre Unidos
Software Engineering
Rainbow Coalition Club
The Creatives (Art) club
The Page Turners
Theatre Club
Other
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What languages are you able to translate for?* This field is required.
Spanish
Bangla
Punjabi
Hindi
Urdu
Arabic
French
Other
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How did you hear about SAYA?* This field is required.
Through my school (counselor, teacher, administrator)
Through a friend/family member
At an event SAYA was present at
SAYA staff gave me a flyer in the neighborhood
Other
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Gender* This field is required.
Female
Male
Non-binary
Prefer not to say
Other
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What is your race/ethnicity?* This field is required.If you identify with more than one, please feel free to select multiple options.
Asian
American Indian and Alaskan Native
Black or African-American or Afro-Caribbean
Hispanic or Latinx
Middle Eastern/North African
Native Hawaiian and Other Pacific Islander
White or Caucasian
Other
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What is your race/ethnicity?* This field is required.If you identify with more than one, please feel free to select multiple options.
South Asian
West Indian (Indo-Caribbean)
Asian (not including South Asian)
Other
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If of South Asian origin, please select from the following (select all that apply):* This field is required.If you identify with more than one, please feel free to select multiple options.
Afghan
Bangladeshi
Bhutanese
Burmese/Myanmar
Guyanese
Indian
Jamaican
Maldivian
Nepali
Pakistani
Sri Lankan
Surinamese
Tibetan
Trinidadian
Other
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If of West Indian origin, please select from the following (select all that apply):* This field is required.If you identify with more than one, please feel free to select multiple options.
Guyanese
Jamaican
Surinamese
Trinidadian
Other
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If of Asian origin, please select from the following (select all that apply):* This field is required.If you identify with more than one, please feel free to select multiple options.
Afghan
Bangladeshi
Bhutanese
Burmese/Myanmar
Cambodian
Chinese
Filipino
Guyanese
Hmong
Indian
Indonesian
Jamaican
Japanese
Laotian
Malaysian
Maldivian
Nepali
North Korean
Pakistani
South Korean
Sri Lankan
Surinamese
Taiwanese
Thai
Tibetan
Trinidadian
Vietnamese
Other
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Dietary Restrictions/Preferences* This field is required.
Halal
Kosher
Vegan
Vegetarian
No dietary restrictions/preferences
Other
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Allergies* This field is required.
Dairy products
Eggs
Peanuts and other nuts
Seafood (fish and/or shellfish)
Soy
Wheat
No allergies
Other
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Please select any health conditions you have that our staff should be aware of:* This field is required.
Asthma
Behavioral/Emotional
Congestive illness (e.g. heart murmurs/disease, blood pressure)
Corrective device (e.g. hearing aid, crutches, eye glasses)
Convulsion/Seizures
Diabetes
Obesity
Physical Disability
No health conditions to report
Other
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Please have your parent/guardian complete the next portion of the survey.
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Emergency Contact's Name* This field is required.
First Name
Last Name
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Relationship to youth
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Emergency Contact's Phone Number* This field is required.
Please enter a valid phone number.
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Emergency Contact's Email* This field is required.
example@example.com
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What is your family's combined annual income?* This field is required.
Less than $20,000
$20,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or more
Decline to answer
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Was your child born outside the United States?* This field is required.
Yes
No
Decline to answer
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Were either of the student's parents born outside the United States?* This field is required.
Both parents were born outside of the United States
Only one parent was born outside of the United States
Neither parents were born outside of the United States
Decline to answer
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Parent/Guardian Information* This field is required.
Parent/Guardian 1 - Profession
Please Select
Please Select
Less than high school
High School / GED / Other equivalent
Some college
College or Associate's Degree
Post-graduate Degree
Decline to answer
Parent/Guardian 1 - Level of education
Parent/Guardian 2 - Profession
Please Select
Please Select
Less than high school
High School / GED / Other equivalent
Some college
College or Associate's Degree
Post-graduate Degree
Decline to answer
Parent/Guardian 2 - Level of education
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I understand that by enrolling my child in SAYA programming, I release SAYA and all SAYA staff, officers and directors from, and against any and all liability, loss damage, cost, claims and/or causes of action arising from or related to my child's participation.* This field is required.
I understand.
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I understand that by enrolling my child in SAYA programming, I authorize SAYA and/or its representatives to care for the administration of general first aid for minor injuries and further authorize them to summon any and all professional emergency personnel to attend, transport and treat my child in the event of a serious injury.* This field is required.
I understand.
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I hereby allow my child’s photograph or recorded video to be used on promotional materials, in any matter deemed appropriate, by the organization and its partners.* This field is required.
YESNO
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I hereby allow my child’s spoken or written words to be used on promotional materials, in any matter deemed appropriate, by the organization and its partners.* This field is required.
YESNO
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I hereby allow my child to take SAYA surveys to help understand their growth and to help SAYA improve its programs.* This field is required.
YESNO
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Signature* This field is required.I consent to my child participating in SAYA programming.
Clear
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