NYCID Online Registration

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Class*

Authorized Pick up #1*

Authorized Pick up #2*

Authorized Pick up #3

Authorized Pick up #4

After submitting your registration form online the NYCID after-school accounts manager will receive your information and post any discounts if due in your account. This may take up to 48 hours to see your actual account balance. Please check your parent portal regularly and pay your bill promptly.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Class*

Authorized Pick up #1*

Authorized Pick up #2*

Authorized Pick up #3

Authorized Pick up #4

After submitting your registration form online the NYCID after-school accounts manager will receive your information and post any discounts if due in your account. This may take up to 48 hours to see your actual account balance. Please check your parent portal regularly and pay your bill promptly.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Class*

Authorized Pick up #1*

Authorized Pick up #2*

Authorized Pick up #3

Authorized Pick up #4

After submitting your registration form online the NYCID after-school accounts manager will receive your information and post any discounts if due in your account. This may take up to 48 hours to see your actual account balance. Please check your parent portal regularly and pay your bill promptly.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Class*

Authorized Pick up #1*

Authorized Pick up #2*

Authorized Pick up #3

Authorized Pick up #4

After submitting your registration form online the NYCID after-school accounts manager will receive your information and post any discounts if due in your account. This may take up to 48 hours to see your actual account balance. Please check your parent portal regularly and pay your bill promptly.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School*

Grade*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Class*

Authorized Pick up #1*

Authorized Pick up #2*

Authorized Pick up #3

Authorized Pick up #4

After submitting your registration form online the NYCID after-school accounts manager will receive your information and post any discounts if due in your account. This may take up to 48 hours to see your actual account balance. Please check your parent portal regularly and pay your bill promptly.

Enroll in Classes

Select Class

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Required Policies

(Show-Hide Details)