Student Application Form - Fall 2026

Is {childsName} enrolled in any other after school activities/programs?
If the answer is yes, please list any programs that might conflict with STAIR scheduling.
Please comment on any specific concerns regarding {childsName}.
i.e. Reading concerns, behavior, confidence, academic performance

Parent/Guardian Contact Name

First NameLast Name
Parent/Guardian Relationship to Child
Parent, Grandparent, Uncle, Aunt, etc.
Parent/Guardian Phone Number
Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Parent/Guardian Address

Street Address

Additional Street Address Information (Apt #, Location)

CityState / Province

Postal / Zip Code

Secondary Contact Name

First NameLast Name
Secondary Contact Relationship to Child
Secondary Contact Phone Number
Format: (000) 000-0000.
Secondary Contact Email Address
example@example.com
How did you hear about STAIR?

Other