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Program Enrollment · Popular

Simplify After-School Program Enrollment Today

Streamline student enrollment in after-school enrichment activities with a form that captures student details, activity choices, and guardian contacts.

Use This Template Free Preview

Blanc theme

formbuilder.ai/f/after-school-enrichment-program-enrollment-activity-selection-form

After-School Enrichment Program Enrollment & Activity Selection Form

Student's Full Name

· · ·

Student's Age

· · ·

Grade Level

Submit

The After-School Enrichment Program Enrollment & Activity Selection Form makes it easy for schools and program coordinators to collect everything they need to get students signed up and ready to participate. From student details and medical information to activity preferences and authorized pickup persons, this template covers all the essentials in one organized form.

Designed for after-school program administrators, community centers, and school staff, this form simplifies the enrollment process by gathering parent and guardian contact details, emergency contacts, and up to three enrichment activity selections per student. It also captures key logistics like preferred start dates and T-shirt sizes for program activities.

By using this digital enrollment form, you eliminate paperwork, reduce errors, and ensure you have accurate information on file for every participant. Customize it to match your program's schedule, available activities, and specific requirements — and start accepting enrollments in minutes.

4 Pages

24 Questions

~8min To complete

Free No credit card needed

Field types Single Choice ×4 Full Name ×3 Phone ×3 Dropdown ×2 Long Text ×2 Multiple Choice ×2 Yes / No ×2 number Short Text Email ranking termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Student Information 6 questions

Student Information

1 Student's Full Name * Full Name

2 Student's Age * number

3 Grade Level * Dropdown

4 School Name * Short Text

5 T-Shirt Size (for program activities) Single Choice

6 Allergies, Medical Conditions, or Special Needs Long Text

Page 2 Parent / Guardian Contact Details 7 questions

Parent / Guardian Contact Details

1 Parent/Guardian Full Name * Full Name

2 Relationship to Student * Single Choice

3 Parent/Guardian Email Address * Email

4 Primary Phone Number * Phone

5 Emergency Contact Phone (if different) Phone

Authorized Pickup Person

6 Pickup Person's Full Name * Full Name

7 Pickup Person's Phone Number * Phone

Page 3 Activity Selection & Schedule 5 questions

Enrichment Activity Selection

Please select the enrichment activities your child would like to participate in. Each session runs Monday through Friday from 3:00 PM to 5:30 PM. You may choose up to three activities.

1 Select Enrichment Activities (choose up to 3) * Multiple Choice

2 Preferred Start Date * Dropdown

3 Preferred Days of Attendance * Multiple Choice

4 Expected Weekly Attendance * Single Choice

5 Rank Your Top 3 Activity Preferences * ranking

Page 4 Consent & Submission 6 questions

Consent & Agreements

1 Does your child have permission to participate in outdoor activities? * Yes / No

2 Do you consent to your child being photographed for program newsletters and social media? * Yes / No

3 How did you hear about our enrichment program? Single Choice

4 Any additional comments or questions? Long Text

5 I agree to the program policies, liability waiver, and understand the enrollment fees and cancellation terms. * termsandconditions

6 Parent/Guardian Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.