GASPA After School Program - North Star Academy, RWC - Spring 2019
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.
I want to register my child for *
For the Spring Session, only students who have completed at least one session of our program or have a previous knowledge of German may be enrolled. To ensure the best possible learning environment for all students in a class, beginner students are only accepted at the start of the Fall Session.
Student's Last Name *
Your answer
Student's First Name *
Your answer
Gender *
Student's Date of Birth *
mm/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 2018/2019 school year
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
Medical Policy and Release
Medical Policy
1.If the parents or emergency contact cannot be reached in case of an emergency, the school will take the child to a nearby urgent care clinic.
2.In case of an extreme emergency, the school will call an ambulance.
Medical Release
I hereby release the German-American School of Palo Alto (GASPA), its employees and board member from any and all liability for injuries and illness that may occur while the child is at school or engaged in school activities such as field trips.
I herewith give my consent for school personnel to authorize emergency medical treatment for my child and I accept full financial responsibility for said treatment.
I have read the above Medical Policy & Release and agree. *
Required
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 $260 for each student.
We do not accept credit cards, e-check payment only.
You will receive an email from our office confirming the receipt of your payment and registration.Thank you!
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 Redwood City for the Spring 2019 Session.
Program fee is due by the first day of the program.
I have read the above (part 2) and understand. *
Required
Submit
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