Registration – Collegiate After School

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

($40 - Jersey)

Corbin's Gear - not required

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

Note: In order to attend the program, you must also enroll through Collegiate at least 1 day prior to the first day of attendance.

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, refunds will not be granted after the 3rd class per the Collegiate policy.