After School Program Application Child's Name * First Name Last Name Birth Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Allergies * Parents Information Parent 1 Name * First Name Last Name Relationship * Email * Phone * (###) ### #### Address (if different from the child's address) Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 Name First Name Last Name Relationship Email Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name * First Name Last Name Phone * (###) ### #### Email Program Which program do you wish to enroll your child? * Hangul Levels 2 & 3 (Monday) Hangul Level 1 (Tuesday) Meet the Masters with Ana (Wednesday) Cooking with Kara (Thursday) Wednesday program only: I wish to have my child picked up at Compass Charter School * Yes No Does Not Apply How did you hear about us? Instagram/Facebook Event Friend/Colleague Email Thank you for your registration. An email with the enrollment process will be sent out in the next few days.
