GASPA After School Program - North Star Academy, RWC - Fall 2017
You are about to register your child for the German-American School of Palo Alto's After School Program at North Star Academy in Redwood City. Please complete all the below questions and double check your responses before clicking "submit" as there is no review process.
You must complete a separate form for each child.
If you have questions about this registration process, please feel free to call us at 650-520-3646 or write to us at office@gaspa-ca.org.
Student's Last Name
Your answer
Student's First Name
Your answer
Gender
Student's Date of Birth
m/dd/yyyy
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone Number
if none, please write "NONE"
Your answer
Parent/Gaurdian First Name
first name only
Your answer
Parent/Gaurdian Last Name
last name only
Your answer
Parent/Gaurdian Email Address
Your answer
Parent/Guardian Cell Phone Number
Your answer
Does the student have a previous knowledge of German?
If yes, how many years of German has your child had?
Your answer
What School does your child attend?
What grade is your child in?
refers to the current 2017/2018 school year
Your answer
Where did you learn about our program?
please check all that apply
Required
Are there any special requirements for the student (e.g. hearing, vision, allergies, learning difficulites, ect.)?
if none please write "NONE"
Your answer
In case of Emergency, notify?
Your answer
In case of Emergency, is the school (GASPA) authorized to call the nearest available physician?
I hereby give permission for my child's picture to be used in school publications
names of students are never used in conjuction with published pictures
Completing Registration - Part 1
Registration is complete once you have completed and submitted this form and we have received your payment of $225 for each student.
We do not accept credit cards. Check, or e-check payment only.
Please complete e-check payment online or make checks payable to "GASPA" and write the students name(s) in the memo section. Please send checks to:
GASPA
PO BOX 50942
Palo Alto CA 94303
Please write names and numbers clearly and legibly on the checks to help avoid administrative delays. Thank you! You will receive an email from our office confirming the receipt of your payment and registration.
I have read the above (part 1) and understand.
Required
Completing Registration - Part 2
I herewith confirm that all the above information is correct. By clicking "I understand", I am aware that I am registering my child for the German-American School of Palo Alto's After School Program at North Star Academy in Red Wood City for the Fall 2017 Session.
Program fee is due by the first day of the program.

This program takes place on Tuesdays from 3-4 pm. Program Dates can be found on our school calendar.

I have read the above (part 2) and understand.
Required
Payment Options and Infos
Payment Type
How do you plan to pay?
If e-check, to what name and email address should the invoice be made out to?
Invoices for payment of registration fee and tuition can only be sent if this information is provided.
Your answer
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