NEW SPEECH KIDS AFTER SCHOOL CARE
REGISTRATION TUTOR
* COMPLETE THIS FORM FOR EACH CHILD
*ENTER THE CHILD'S ENTIRE NAME
* ENTER PARENT OR GUARDIAN EMAIL ADDRESS
* IN THE REGISTRATION INFORMATION BLOCK ENTER INFO BELOW:
1. Start Date
2. Number of Children need care
3. Payment Schedule
(Weekly, Biweekly, or Monthly)
4. Medical concerns: Allergies on meds etc.
5. EXPECTED DROP-OFF TIME
6. EXPECTED PICK-UP TIME
7. YES or NO If your child or children may participate in fieldtrips, pics, & videos (specify any NO answers)
8. Note any additional INFO you would like to add.