After School Program Registration Form. 2023/2024
Thanks for your interest in our services.
Please complete the registration form and kindly read our Terms and Conditions.
https://tinyurl.com/C-T-termsandconditions
If you have any questions, do not hesitate to contact us at
[email protected]
.
Parent's /Guardian's First Name
Parent's/ Guardian's Last Name
Email
Confirm Email
Mobile Phone
Additional contact/Parent (Name and phone)
Home Address
I have read and I accept Ceibo Tutoring's Terms and Conditions
How did you hear about us?
Student
First Name
Last Name
Date of Birth
Age
School
Grade/Year
Select
Early Childhood
Kindergarten/Year 1
Grade1/Year 2
Grade 2/Year 3
Grade 3/Year 4
Grade 4/Year 5
Grade 5/Year 6
Grade 6/Year 7
Grade 7/Year 8
Grade 8/ Year 9
Grade 9/ Year 10
Grade 9/ Year 10
Grade 10/ Year 11
Grade 11/ Year 12
Grade 12/Year 13
Does your child have Special Education Needs?
Yes
No
Diagnose
Allergies/Medical Info
Remove
Add Fields for Additional Student
Submit
