Needham Extended Day Program Online Registration

Registration

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Thank you for your interest in NEDP! We are FULL every afternoon with waitlists; we do not anticipate that you will be admitted for the fall if you are adding at this time. We do have room at our BEFORE SCHOOL programs; someone will reach out to you with enrollment information.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

2 Contacts (non-parent) name and phone number*

Health Insurance Carrier*

Authorized Pick Up

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level 24-25*

Special Diets, or other Limitations and Concerns

Allergies (type NONE if none)*

Medications

Primary Doctor*

hair color/eye color

height/weight

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 24-25*

Special Diets, or other Limitations and Concerns

Allergies (type NONE if none)*

Medications

Primary Doctor*

hair color/eye color

height/weight

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 24-25*

Special Diets, or other Limitations and Concerns

Allergies (type NONE if none)*

Medications

Primary Doctor*

hair color/eye color

height/weight

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 24-25*

Special Diets, or other Limitations and Concerns

Allergies (type NONE if none)*

Medications

Primary Doctor*

hair color/eye color

height/weight

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 24-25*

Special Diets, or other Limitations and Concerns

Allergies (type NONE if none)*

Medications

Primary Doctor*

hair color/eye color

height/weight

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

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule

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)