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.
  • Please list any known allergies
  • To whom it may concern: I hereby give permission for our (my) child to go on any New City Afterschool event with New City Neighbors. We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care,to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in the above mentioned activity.