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Registration

After-school program enrollment form template

Enrollment for after-school care or enrichment: schedule, authorized pickup adults, custody notes, allergies, and the late-pickup policy.

The form

Fields

18 questions on 3 pages

  1. Student first name *Short text
  2. Student last name *Short text
  3. Date of birth *Date
  4. Grade *DropdownK · 1 · 2 · 3 · 4 · 5 · 6 · 7 · 8
  5. School *Short text
  6. Homeroom teacherShort text
  7. Days attending *DropdownMonday to Friday · Monday, Wednesday, Friday · Tuesday and Thursday · Drop-in only
  8. Start date *Date
  9. Next page: Pickup and contacts

  10. Parent or guardian name *Short text
  11. Parent or guardian email *Email
  12. Parent or guardian phone *Phone
  13. Adults authorized for pickup *Long textFull names and phone numbers. Staff check photo ID at pickup.
  14. Is anyone not permitted to pick up your child? *Multiple choiceNo · Yes
  15. Pickup restrictions *Long textPlease also give the director a copy of any court order.Shown only when restrictions answer is Yes
  16. Next page: Health and policies

  17. Any allergies or medical conditions? *Multiple choiceNo · Yes
  18. Allergies, conditions, and care plan *Long textShown only when allergies answer is Yes
  19. Homework helpMultiple choiceEvery day · When needed · No thanks
  20. Late pickup policy *Terms agreementThe program ends at 6:00 pm. After two late pickups, a late fee is charged for each additional 15 minutes. If we can't reach anyone 30 minutes after closing, we follow our emergency procedures.

Settings that go with it

  • Schedules as divisions
  • Payment plans
  • Check-in list
  • Required waiver

How to use it

Every field here is a standard TazForm field type, so the form loads in one click from the builder's “Start from a template” — then edit anything.

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