Follow the steps to successfully complete the agreement form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the student information section. Indicate whether the student is a new or returning participant and provide the student’s last name, first name, school name, gender, and date of birth.
3. Next, complete the parent/guardian information fields. This includes the guardian's full name, phone numbers (work, cell, home), address, relationship to the student, social security number, email, occupation, employer, and city, state, and zip code.
4. Provide details for emergency contacts. You will need to list the names, phone numbers (work, home, cell), and their relationship to the student for two emergency contacts.
5. In the medical information section, specify the child's doctor's name, their city, and any known allergies, medications, or physical limitations that the staff should be aware of.
6. List individuals who are authorized to pick up the child other than parents. Include their names, addresses, phone numbers, and relationships to the child.
7. Complete the payment schedule by selecting the type of contract (month-to-month or full school year) and filling in the membership starting and ending dates. Specify the selected grade and days of attendance as required.
8. Calculate the payment by entering all necessary fee information, including the weekly program fee and any additional add-ons, then ensure you have accurately represented future payments and credit information as applicable.
9. Review all entries for accuracy and completeness before signing the agreement. Both parent/guardian and representative signatures are required.
10. Once completed, you can save your changes, download the form, print it, or share it as needed to finalize your application.

Start filling out your VA C3 Cyber Club After School Program Agreement Form online today to ensure a smooth registration process for your child.