Sequoia Schools

ASLP Student Info

Which school is your child enrolled in?

If you attend another Sequoia School, please contact that school directly for after school program enrollment procedures.

Student Last Name *

Student First Name *

Transportation? (We go North to McKellips, South to Baseline, East to Val Vista and West to Dobson. ) *

Full Home Address *

Grade

List all allergies or alerts if any.

Guardian Name *

Guardian Email

Guardian Primary Phone Number *

Guardian Secondary Phone Number

Other Guardian Name

Other Guardian Phone Number

Emergency Contact Name (someone other than a guardian) *

Emergency Contact Phone Number *

Photo/Video Release: May we publish photos/videos of your child in newsletters, etc.? *

Type the characters you see in the picture below