Registration Form

Please fill out one form for each student you wish to enroll.

All information is kept completely confidential and is for After School Life's internal use ONLY.

Cancellation Policy

Student Information










Guardian Information






Emergency Contact




Medical Conditions


Additional Comments

Payment

* 3.9% transaction fee will be applied for Paypal & Credit Card payment

By submitting this Registration Form, I agree to waive all claims against the school, After School Life, and their respective staff members for any incident, injury or accident that may occur as a result of my child’s participation in this program. I also agree to allow use of photos, videos taken of the individuals named herein for any Publicity and promotions purposes without obligation or liability to me.