Needham Extended Day Program Online Registration

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 23-24*

Special Diets, or other Limitations and Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

hair color/eye color

height/weight

DO NOT PLACE YOURSELF ON THE 23-24 WAITLIST UNLESS YOU PLAN ON COMING THIS YEAR- THE 24-25 SESSION WILL NOT BE AVAILABLE UNTIL 3/1 at 7am.

CLASS SELECTION INSTRUCTIONS: Filter by SESSION (2023-2024), Filter by SCHOOL (your family home school- B,E,M,N,SW) then find the 24-25 grade level and day. For example, to enroll a second grader on Mondays at Newman, choose: N 2nd M

Before School classes are not broken down by grade. They are indicated with "BS" instead of grade. To enroll for before school at Newman on Mondays, choose: N BS M

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 23-24*

Special Diets, or other Limitations and Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

hair color/eye color

height/weight

DO NOT PLACE YOURSELF ON THE 23-24 WAITLIST UNLESS YOU PLAN ON COMING THIS YEAR- THE 24-25 SESSION WILL NOT BE AVAILABLE UNTIL 3/1 at 7am.

CLASS SELECTION INSTRUCTIONS: Filter by SESSION (2023-2024), Filter by SCHOOL (your family home school- B,E,M,N,SW) then find the 24-25 grade level and day. For example, to enroll a second grader on Mondays at Newman, choose: N 2nd M

Before School classes are not broken down by grade. They are indicated with "BS" instead of grade. To enroll for before school at Newman on Mondays, choose: N BS M

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 23-24*

Special Diets, or other Limitations and Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

hair color/eye color

height/weight

DO NOT PLACE YOURSELF ON THE 23-24 WAITLIST UNLESS YOU PLAN ON COMING THIS YEAR- THE 24-25 SESSION WILL NOT BE AVAILABLE UNTIL 3/1 at 7am.

CLASS SELECTION INSTRUCTIONS: Filter by SESSION (2023-2024), Filter by SCHOOL (your family home school- B,E,M,N,SW) then find the 24-25 grade level and day. For example, to enroll a second grader on Mondays at Newman, choose: N 2nd M

Before School classes are not broken down by grade. They are indicated with "BS" instead of grade. To enroll for before school at Newman on Mondays, choose: N BS M

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 23-24*

Special Diets, or other Limitations and Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

hair color/eye color

height/weight

DO NOT PLACE YOURSELF ON THE 23-24 WAITLIST UNLESS YOU PLAN ON COMING THIS YEAR- THE 24-25 SESSION WILL NOT BE AVAILABLE UNTIL 3/1 at 7am.

CLASS SELECTION INSTRUCTIONS: Filter by SESSION (2023-2024), Filter by SCHOOL (your family home school- B,E,M,N,SW) then find the 24-25 grade level and day. For example, to enroll a second grader on Mondays at Newman, choose: N 2nd M

Before School classes are not broken down by grade. They are indicated with "BS" instead of grade. To enroll for before school at Newman on Mondays, choose: N BS M

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 23-24*

Special Diets, or other Limitations and Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

hair color/eye color

height/weight

DO NOT PLACE YOURSELF ON THE 23-24 WAITLIST UNLESS YOU PLAN ON COMING THIS YEAR- THE 24-25 SESSION WILL NOT BE AVAILABLE UNTIL 3/1 at 7am.

CLASS SELECTION INSTRUCTIONS: Filter by SESSION (2023-2024), Filter by SCHOOL (your family home school- B,E,M,N,SW) then find the 24-25 grade level and day. For example, to enroll a second grader on Mondays at Newman, choose: N 2nd M

Before School classes are not broken down by grade. They are indicated with "BS" instead of grade. To enroll for before school at Newman on Mondays, choose: N BS M

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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

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

Payment Information

Account Information

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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

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

Payment Information

Account Information

Required Policies

(Show-Hide Details)