Vista PEAK Sneak Peek
April 20th Kindergarten; May 4th 1st-8th grades
I want to register for the following session ***NOTE: Kindergarten Sessions are Full*** *
Required
Student Name *
Your answer
Students Date of Birth *
MM
/
DD
/
YYYY
Students Current Grade *
Your answer
Parent/ Guardian Name *
Your answer
Phone *
Your answer
Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Does your student have any health concerns we should be aware of?
Your answer
Conditions of participation are that every student agrees to abide by the rules governing this activity, to cooperate with the teacher and any staff member. Every effort will be made to insure proper safety conditions and supervision. The school, the district and the teacher or any other staff member will not accept legal responsibility for accidents or injuries. If you agree to permit your daughter/son to accompany other students with this understanding, please indicate that below. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of APS Google. Report Abuse - Terms of Service - Additional Terms