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South San Francisco ELOP Afterschool Registration form 2025-2026
Parent’s Information
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Please tell us Student's Information
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Emergency Contact Information
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Medical
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Please provide the following information for authorized pick up of your student(s).
Parent/Guardian 1 Last Name
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Parent/Guardian 1 First Name
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Parent/Guardian 1 Phone Number
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If there will be an additional authorized pick up , please provide information below
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I, Parent/Guardian of the applicant, have read and fully understood the Enrollment Policy & Liability Waivers. By checking this box, I confirm that I will abide by all the
terms and conditions
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I, Parent/Guardian of the applicant, have read and fully understood the Enrollment Policy & Liability Waivers. By checking this box, I confirm that I will abide by all the terms and conditions.
I accept
Register
