Registration Form
Please fill out a separate registration form for each student
Email address *
STUDENT'S NAME *
Your answer
STUDENT'S BIRTH DATE *
Your answer
STUDENT'S EMAIL (IF APPLICABLE)
Your answer
GRADE FOR 2020/2021 CO-OP YEAR (SELECT ONE) *
FIRST PERIOD CLASS-SELECT ONE
SECOND PERIOD CLASS-SELECT ONE
THIRD PERIOD CLASS-SELECT ONE
FOURTH PERIOD CLASS-SELECT ONLY ONE
FIFTH CLASS PERIOD-SELECT ONLY ONE
FIRST PARENT'S NAME (First to be contacted) *
Your answer
FIRST PARENT'S PH0NE NUMBER *
Your answer
SECOND PARENT'S NAME *
Your answer
SECOND PARENT'S PHONE NUMBER *
Your answer
ANY CONCERNS? PLEASE NOTE BELOW
Your answer
MY STUDENT AND I HAVE READ AND AGREE TO ABIDE BY THE ALAMO AREA CHRISTIAN EDUCATOR'S, INC. REGISTRATION POLICY *
Required
REGISTRATION FEE PAYMENT WILL BE RECEIVED BY PAYPAL OR CHECK BY AUGUST 7, 2020 *
Required
THE STUDENT AND I, THE PARENT, AGREE TO THE EXPECTATIONS FOR STUDENT'S AND PARENT'S BEHAVIOR OUTLINED IN THE POLICIES AND PROCEDURES *
Required
I, THE PARENT, AM AWARE OF AND AGREE TO THE VOLUNTEER OBLIGATIONS *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy