After School Program Enrollment 2019-2020

Please only fill out one form per student

Student Information

Parent Information

Enter your preferred email in the case Westridge must contact you regarding your student's enrollment in After Care ​​​

I agree and give permission for my daughter to participate in any activities associated with the Westridge School 2019-20 After School Program. I agree to indemnify and hold Westridge, its Board of Trustees, its employees, agents, representatives and assigns harmless from any and all claims, damages, expenses and costs of medical care and services provided to the student arising out of any illness or injury sustained by the student while attending or participating in this event. 

Please type your First and Last Name​

Payment Options 

Add amount that business office communicated to you​​​​
Leave 00 if you chose payment option​
Please check amount and have credit card ready for payment screen​

Please provide an email address where we can send a link to your current form.

Email Address :