Application

Application

Out-of-School Time Program Registration Form

Out-of-School Time Program Registration Form

Please fill in ALL information. Please complete a separate form for each student. If you would prefer to fill out and submit physical forms, please download the Student OST Code of Conduct Agreement and the Registration Form and bring them with your child to any of the KidSpace locations.

Student Information

City
State/Province
Zip/Postal

Parent/Legal Guardian Contact Information

Authorized Alternative/Emergency Contact(s) for Program and Student Pick-up (PHOTO ID REQUIRED TO PICK UP STUDENT)

Agreements

As the parent/legal guardian, I give the OST Program permission to use photographs/video taken during the program time for use in different media formats to communicate with the community and other stakeholders. Your initial will act as legal agreement.
Please check yes if there are any medical conditions that the after-school staff may encounter during the time they spend with us. If your child needs an alternate snack due to medical reasons, please send them with your child.
Typing your full name will be viewed as your electronic signature.