Froschgruppe - Parent & Me - Spring 2019 Registration Form
You are about to register yourself and your child for the German-American School of Palo Alto's "Froschgruppe - Parent & Me" Group for the Spring 2019 session. 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 *
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
Mother's First Name *
first name only
Your answer
Mother's Last Name *
last name only
Your answer
Mother's Email Address *
Your answer
Mother's Cell Phone Number *
Your answer
Father's First Name *
first name only
Your answer
Father's Last Name *
last name only
Your answer
Father's Email Address *
Your answer
Father's Cell Phone Number *
Your answer
Is German spoken at home? *
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 & 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.
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.
Please complete e-check payment online.
Please make sure to enter your account and routing number correctly. Incorrect numbers may result in rejected payment and additional fees.
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 myself and my child for the German-American School of Palo Alto's Froschgruppe for the Spring 2019 session.
Tuition balance is due by or on the first day of the session.
Classes in this session take place from 9:00-10:15am on Saturdays from Jan 26th through May 18th 2019 on the campus of ALTO International School at 475 Pope Street, Menlo Park 94025.
I have read the above (part 2) and understand. *
Required
Submit
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