Through The Trees

After School Program Registration


After School Program registration

 



Child Information

Child's Name:

Child's Date of Birth:

Child's Street Address:

Child's Grade Number:

Child's School Name:


Medical Information

By providing thorough medical information about your child, Through The Trees staff and families work together to provide a safe and nurturing environment for all children.


Medical Information:

Allergies & Special Needs:

Medication:

Additional Information:


Parent/Guardian Information Part 1



Relationship:






Preferred Phone:

Work Phone:



Parent/Guardian Information Part 2


Full Name:

Relationship:

Full Address:

Email:

Work Phone:


Emergency Contact Information

Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Address:
Emergency Contact Phone Number:
Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Address:
Emergency Contact Phone Number:



Who else can pick up your child?

Please provide the adult's name, address, phone number and relationship to your child.

Additional Pick Up:

Additional Pick Up:

Additional Pick Up:


Program Information


Hold the Control button (PC) or Command button (Mac)
to select more than one option.

Days Attending:

When is your first day?


Transportation Information

Please note: There is limited space available in the Through The Trees van from HBS and Williams Cone. There is no additional monthly fee for transportation. If your child requires a car seat, please provide one to Through The Trees. Reserve your spot today!
Transportation:

Transportation Information:


Payment Information

Payment Method:
I would like Through The Trees to automatically charge my card:


How did you hear about Through The Trees?

How did you hear about us?:


Online debit/credit card payments, the Program Handbook and Waiver are available on the next screen!