New City After School Registration If you would like to sign your child up to attend New City After School, please fill out the form below. Once your registration is received we will contact you to confirm by phone. Once we've confirmed your child's enrollment your registration will be completed. Child's Name* First Last Address* Street Address City ZIP Code Child's Birthday* Child's Grade:*What school does your child attend?*Other siblings registering for New City Afterschool:Parent/Guardian Name* First Last Parent/Guardian Name First Last Parent email:*Will be used to notify you of cancellations, policy changes and other important information pertaining to New City Afterschool. Parent phone:*Emergency Contact and Phone Number*Allergies*Please list any known allergiesHealth Insurance Company*Policy Number*Signature*I authorize my child to...* Participate in any events on or off site with New City Neighbors Ride in any vehicle driven by a New City Neighbors staff member or volunteer Receive emergency medical care with the consent of New City Neighbors; I understand I will be responsible for any medical fees incurred Have their picture taken by New City Neighbors and used in publications and other materials by NCN and its partners This iframe contains the logic required to handle Ajax powered Gravity Forms.
