Class Sign-up Form
Student Information
Student Name *
First and Last
Your answer
Grade *
Teacher Information
Teacher's name and/or Classroom number. *Required for Hicks Canyon Elementary*
Your answer
My child can walk home *
Your child can walk or bicycle home without supervision
Parent Information
Parent Name *
First and Last
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Alternate/Emergency Contact
Please provide the name and phone number of an alternate contact person. *Not Required*
Your answer
Class Information
Class Type *
Check all classes that your child is signing up for
Required
Elementary School *
School where the class will be held
Your answer
Payment Type
Please choose your preferred payment method below. *
IAC will contact you within 24 hours to collect credit card payment.
IAC Authorization
Please scroll to the top of the page after submitting the form to verify that it has been received.
I acknowledge that I am authorizing my child to take part in IAC after school programs
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