Registration – After School Program



Fields marked with an * are required

Add sibling names & ages, each on a new line.

Emergency / Medical Information

Please add any important information about your child, such as medical or physical conditions (e.g., asthma) above.

School & Transportation


The designated caretaker receiving the child will be required to initial our drop off sheet. Whether it be a parent, grandparent, nanny, babysitter, or doorman, EVERYONE must follow this procedure.

Program Selection

September 11 - December 15 (no program Oct 9, Nov 22,23,24)

January 8 - March 16 (no program Jan 15, Feb 19,20)

April 3-June 8 (No program May 28)

September 11 - June 8

Corbin's Gear

Purchase is optional

Basketball, Football or Lacrose

Lacrosse Gear:

For Boys: Helmet, gloves, stick, shoulder pads and arm pads required for program
For Girls - stick, goggles and mouthpiece required for program

Total: 0.00

Cancellation Policy and Deposit Schedule:
A non-refundable 20% deposit is due with the application in order to secure a spot. Payment in full is due one month prior to start of program, 50% of which is refundable upon cancellation. After the first day of the program all fees are non-refundable.