CBS After-School Supervision Request Form 2026-2027
Dear CBS Families,

As we continue in our efforts to support working families, Chaoyin will continue to offer a basic after-school supervision program. We want to ensure that these limited spaces are used to best support families requiring additional after-school supervision for their children. As there are a limited number of spaces this request form helps us better understand each family’s circumstances and level of need for after-school supervision. The After-School Supervision Program runs on all regular school days from 3:10pm to 5:30pm, unless otherwise stated on the school calendar or on early dismissal days.

If there are spaces available after we have accommodated working families, we will ensure to reach out to you for the next steps.

Chaoyin Bilingual School
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Student Information
Student Name(s)
**For families applying for two or more children, please include the names of all students requiring after school supervision in this section.**
 *
Grade
**If applying for two or more children, please select all applicable grade levels.**
 *
Required
Parent/ Guardian Information
Parent/ Guardian 1 Name *
Parent/ Guardian 1 Relationship to Student *
Parent/ Guardian 2 Name (if applicable)
Parent/ Guardian 2 Relationship to Student (if applicable)
Reason for Request 
Please help us better understand why your family requires after-school supervision for the 2026-27 school year.
 *
Required
Authorized Pick-Up Person(s): *
Additional Information (Optional)

Is there anything else you would like to include?

Parent/Guardian Acknowledgement

I/we understand that:

Submission of this application does not guarantee placement in the After School Supervision Program. Spaces are limited, and applications will be reviewed based on family needs and program capacity. Enrollment, if offered, is for the full term of after-school supervision. Families who no longer require supervision in future terms may notify the school office accordingly.

Electronic Signature Consent

By typing my name below, I confirm that the information provided in this application is accurate to the best of my knowledge and understand that this typed name serves as my electronic signature. *
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