Please complete this registration form. All information will remain strictly confidential and will only be used to determine which class your child may attend. Merci de compléter ce formulaire d'inscription. Les informations communiquées resteront strictement confidentielles et seront exclusivement utilisées pour déterminer la classe adéquate pour votre enfant.
School Information
First Parent/Guardian
First Name*
Last Name*
Cell Phone #*
(123)123-1234
Email*
Second Parent/Guardian
First Name*
Last Name*
Cell Phone #*
(123)123-1234
Email*
General Information
Address*
Address Line 2 / Apt #
City*
Etat / State *
Zip Code*
Main language spoken at home*
How did you hear about EFNY*
Authorized people (first name, last name, phone name) to pick up the student after school**
If the child can return without being accompanied, type "Alone".
* Available only for 5th grade
Emergency Contacts (first name last name, phone number)*