The Spot After-School Enrollment - Form

If you are a member of HAMAKOM, please sign into your account before registering.

CHILD INFORMATION

* First Name

* Last Name

* Date of Birth

* Gender

* Pronouns

Gender/Pronoun Other Selection

If you selected Other for either Gender or Pronoun, please write your child's preferences here.

ENROLLMENT INFORMATION

CLICK HERE TO SEE THE TUITION RATES FOR THE SPOT

* Fall 2024 Elementary School

My child will be attending the following school in 2024-2025

If you chose other, which school does your child attend?

* How will your child get to The Spot?

Please Select OneThe Spot van/minivan, if my child's school is on the routeIf my child's school is not on the route, I will driveIf my child's school is not on the route, I would prefer to carpoolI don't know (The Spot will contact you)We will make every effort to provide transportation to as many schools as possible, however, unless we have a sufficient number of children enrolled from a school, we cannot guarantee Spot-provided transportation.

* Does your child require any of the following transportation safety seats when riding in The Spot vehicle?

All students under the age of 8 are required by law to be in a booster seat or car seat.

PARENT INFORMATION

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Cell Phone

Parent 1 Occupation

* Address

* City

* State

* Zip Code

Parent 2 First Name

Parent 2 Last Name

Check here if this parent is authorized to pick up the child

Parent 2 Email

Parent 2 Cell Phone

Parent 2 Occupation

Parent 2 Relationship to Child

Address (if different from address above)

EMERGENCY CONTACT INFORMATION

* First Name

* Last Name

* Email

* Cell Phone

* Relationship to Child

* First Name

* Last Name

* Email

* Cell Phone

* Relationship to Child

ADDITIONAL AUTHORIZED PICK-UP

In addition to the parents/guardians listed above, please provide the information of two people authorized to pick up your child from The Spot.

AUTHORIZED PICK-UP PERSON #1

* First Name

* Last Name

* Email

* Cell Phone

* Relationship to Child

AUTHORIZED PICK-UP PERSON #2

* First Name

* Last Name

* Email

* Cell Phone

* Relationship to Child

THE SPOT ENROLLMENT DEPOSIT & REGISTRATION FEE

* $125 Registration Fee

$125 Registration FeeI acknowledge that a $125 registration fee is required for enrollment and is nonrefundable.

* $500 Deposit

$500 DepositI acknowledge that a $500 deposit will be required for enrollment

If we are not able to provide transportation from your child's school, and you cannot arrange for your own transportation, your deposit will be refunded.

Deposit Total