Registration – BisNY 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

Fall Season:  September 18, 2017 – January 22nd, 2018
No class on Oct 9, Dec 18, Jan 1, Jan 15

Spring Season: January 29 to June 11th, 2018
No class Feb 19, Mar 26, Apr 2, 9 & May 28

Helmets required for beginners – if your child does not have a helmet one will be provided at no charge.

Corbin's Gear - not required

Basketball, Football or Lacrose

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.