ASE Registration

Creekside Elementary Online ASE Registration

Please fill in this form completely and accurately. Registrations are accepted in the order they are received. We will only contact you if a class is full and we cannot accept anymore registrations. Please contact us at 1-877-679-GOAL (4625) if you have further questions.

Creekside Elementary ASE Registration Form

* Indicates required field

Enrichment Class *

Parent Name *

First

Last

Child's Name *

Choose One *

Boy Girl

Grade *

Teacher *

Email *

Home Phone *

Cell Phone *

After Class *

I will pick up my child My child should be walked to Kids' Country My child will be picked up by the person listed below

Name of person picking up my child *

Emergency Contact *

Emergency Contact Phone Number *

Payment Method *

PayPal ($5 fee will be included) I will mail a personal check I will drop off a personal check in the Creekside Office

Comments *

Click to register

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