CMASP Registration 2018-2019
Child's Name *
Your answer
Birthdate *
Your answer
School *
Grade Level *
What kind of bird? (If you are not an AUSD family, check N/A) *
Parent(s)/Guardian(s) Names, Phone #, and Email Addresses *
Your answer
Emergency Contact *
Your answer
Emergency Contact #2 *
Your answer
Allergies/Medical Conditions *
Your answer
Who is approved for pickup? *
Your answer
Learning Differences/IEP? *
FlexDrop Plan or Scheduled Days? *
Weekly Schedule (in order to keep a space in the program, you must commit to paying for two days per week, even if your student does not attend)
Is there anything else you'd like us to know about your wonderful child?
Your answer
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