Online Registration Form

Home & School
Online Registration Form

Please fill out the form below
Parent or Guardian's Name*

First NameLast Name
Additional Parent or Guardian's Name (optional)

First NameLast Name
Phone Number
Area Code + Phone #
E-mail
Mailing Address
What Would be the Best Way(s) to Contact You?*

Phonee-mailMail
When would be the Best Time of Day to Contact You?

:HourMinutesAM/PM Option
If you have any questions or problems completing this form, please let us know at upper.darby.home.school@gmail.com!
STUDENT INFORMATION
Please select one of the following Dues to be paid.

Single Student Registration - $10.00Student Family Registration - $20.00
If you are registering 2 or more people, please add the FIRST and LAST Name of each student along with their HOME ROOM # in this field.
Student's Name

First NameLast Name
Student's Home Room #
Please send your Home and School registration payment by using our PayPal account (see link above). You can also mail in your payment by making out your check or money order to:

                                                        UDHS H&S

                                                      P.O. Box 403

   Drexel Hill PA 19026

PLEASE NOTE - The ASSIGNED REGISTRATION NUMBER must be included!

(This number will be included in your confirmation email).

Your involvement and financial commitment will enable us to reach our goals this year.
Please feel free to email us with any questions or ideas you may have: upper.darby.home.school@gmail.com
Should be Empty:

Home & School

Online Registration Form