After School Recreation - Fall 2024

Click here for the flyer, and scroll to the bottom of page 2, 3 4, or 5 for additional details.

Please complete the form below. Required fields marked with an asterisk *

Student's First Name*

Answer Required

Student's Last Name*

Answer Required

Student's NYC Schools Email Address*

Must end in @nycstudents.net (If you need help, see #3 of the highlighted "Please Note" section above.

Answer Required

Student's Class*

(i.e. 604, 712, 813, etc.)

Answer Required

Primary Contact (Parent/Guardian) Name*

Answer Required

Primary Contact Phone Number*

Number Required

Primary Contact Email Address*

Answer Required

Secondary Contact (Parent/Guardian) Name*

Answer Required

Secondary Contact Phone Number*

Number Required

Please Note:

1. You will receive an email confirmation upon successful registration. If you do not receive an email confirmation, an error likely occurred (usually due to a mistyped credit card digit), and you should attempt to register again.

2. If you are interested in registering your child for more than one program, you must register for each additional class separately.

3. Should you require assistance finding your child's nycstudent.net account, please visit this DOE webpage: https://mystudent.nyc/ Once you log in, select your respective child, and then scroll down and select the "Student" icon. Your child's DOE email address can be found there.

4. All fees are non-refundable, unless the class is cancelled.

Dismissal*

Check one. (Students will be dismissed from this program at the time indicated on the flyer from the rear entrance into the schoolyard.)

Answer Required

My child will walk home, take public transportation, or be picked up from school upon release.

My child is enrolled in the UAU program and will attend UAU immediately after.

My child is attending a virtual program - this is not applicable.

I, the parent/guardian of the student named above, hereby give my permission for my child to take part in the after-school recreational program indicated above, and understand that transportation home from the program is my responsibility.*

Check the box to acknowledge.

Answer Required

Check box to grant permission.

Special Services: ONLY if your child requires any special accommodations during the after-school program (i.e nursing services, paraprofessional, etc.), please specify below.

Answer Required

Please fix the highlighted areas below before submitting.

After School Recreation - Fall 2024