Clinton Community Center After School Program Child?s Name Mailing Address City, State, Zip Code Phone Number Current Grade Date of Birth Sex Mother?s/Guardian?s Name Phone: (h) (w) (cell) Father?s/Guardian?s.

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How to fill out the After School Program Registration Form - City Of Clinton online

This guide provides you with clear and supportive instructions for filling out the After School Program Registration Form for the City Of Clinton online. By following these steps, you can ensure that your registration process is smooth and efficient.

Follow the steps to successfully complete your registration online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Fill in the child's name, mailing address, city, state, zip code, phone number, current grade, date of birth, and sex. Ensure all information is accurate to help facilitate communication and enrollment.
  3. Enter the names and contact information for the mother’s or guardian’s and father’s or guardian’s, including home, work, and cell phone numbers, to provide necessary contact details.
  4. Complete the emergency contact section by providing the name and phone numbers of an alternative contact person if the parents or guardians cannot be reached.
  5. Indicate the days you would like to enroll your child by circling the appropriate days: Monday, Tuesday, Wednesday, Thursday, and Friday.
  6. List individuals authorized to pick up your child, along with their contact numbers, to ensure the safe and appropriate collection of your child after the program.
  7. Provide detailed responses to essential health and safety questions about allergies, current medications, injuries, disabilities, and any specific medical needs your child may have. You may attach an additional sheet of paper if necessary.
  8. Fill out the Medical Release Form, including your printed name and signature to authorize necessary medical care for your child during participation in the program.
  9. Complete the Medication Authorization section if your child requires medication to be administered during program hours. Include your signature and date to confirm the information.
  10. Sign the Travel & Photo Waiver/Release Form, granting permission for your child to participate in activities and for photographs to be taken for promotional purposes.
  11. Review all entries for accuracy, then save changes, download, print, or share the completed form as required.

Ready to start? Complete your After School Program Registration Form online today!

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