After School Program Registration Form (Short Form)

Students must be signed up to the After School Program in advance in order for us to provide accurate staffing and space for each student. Drop-ins will be allowed if space is available and maximum capacity has not been met.
Student Name
First Last
Grade*
Please specify the dates you will need ASP care:
Consent*
I agree to the following:
I authorize my child to attend the Bishop Marshall After School Program and to take part in all activities. I give permission for people I have listed both on this form and in my FACTS/RenWeb account to pick up my child. I understand that these people will be asked for identification if not recognized by the staff. I agree to all of the policies and billing procedures of the After School Program.
Date*
Date Format: MM slash DD slash YYYY
CAPTCHA

Students must be signed up to the After School Program in advance in order for us to provide accurate staffing and space for each student. Drop-ins will be allowed if space is available and maximum capacity has not been met.