2017-2018 Later Gator Registration Form
Student Information
Student's Last Name
Your answer
Student's First Name
Your answer
Date of Birth
Your answer
Grade
Medical Information (Allergies, etc.)
Your answer
Military Discount
Check ALL that apply:
Required
Parent/Guardian (1) Last Name
Your answer
Parent/Guardian (1) First Name
Your answer
Parent/Guardian (1) Cell/Best Contact Number
Your answer
Parent/Guardian (1) Alternative Number
Your answer
Email Address
Your answer
Parent/Guardian (2) Last Name
Your answer
Parent/Guardian (2) First Name
Your answer
Parent/Guardian (2) Cell/Best Contact Number
Your answer
Parent/Guardian (2) Alternative Number
Your answer
Email Address
Your answer
Emergency Pick Up
Your answer
Emergency Pick Up Cell/Best Contact Number
Your answer
Emergency Pick Up (2)
Your answer
Emergency Pick Up Cell/Best Contact Number (2)
Your answer
I understand that completing this registration form does NOT guarantee my child a spot in the Later Gator program. I have read and understand the Later Gator Handbook available online. I also understand that by electronically signing this registration form I accept the terms stated in the handbook. https://goo.gl/q5c7GJ
Electronic Signature
Your answer
There is a $35.00 Registration Fee (Per Family). Payments are due before your child can be accepted into the Later Gator Program. Please pay online using Parent Portal. Please call Laurie Cannon at 714-1300 ext 3005 with any questions.
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