2023-24 registration

Connect the World Enrollment

Thank you for enrolling into our Connect the World Program! To confirm your enrollment for the 2023-24 school year, please complete this form to the best of your ability. If you require any assistance, contact us at info@connect-world.org or Cynthia, at cynthia@connect-world.org

Tuition

Monthly Tuition (Full-time) 1 student:			$385.00
Monthly Tuition (Full-time) 2+ students:			$346.50
Monthly Tuition (Part-time) 1 student:			$325.00
Monthly Tuition (Part-time) 2+ students			$292.50

FULL-TIME Enrollment = 4 - 5 days/week
PART-TIME Enrollment = 2 - 3 days/week

There is a 10% discount if you enroll more than 1 student into our program
Monthly Payments begin in August and end in April
All payments will be made through Paypal Invoice, sent every 20th of the month
NEW families are required to pay a one-time enrollment fee of $100

Have your child(ren) been previously enrolled in the Connect the World afterschool enrichment program? If no, a $100 enrollment fee is required to pay upon enrollment

Yes, we have enrolled before

No, this is our first year

Preferred Email to receive Paypal Invoices

Annual Tuition is offered to 10 of our returning families. If you have been offered our Annual Tuition rate and would like to pay that amount, please check the box below.

I would like to enroll into Annual Tuition

Parent/Guardian Registration

Please select the number of Parent/Guardian(s) to register

First Parent/Guardian

Active Duty Military?

Yes

No

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Phone

Home Phone

Work Phone

Email

Second Parent/Guardian

Active Duty Military?

Yes

No

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Phone

Home Phone

Work Phone

Email

Third Parent/Guardian

Active Duty Military?

Yes

No

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Phone

Home Phone

Work Phone

Email

Fourth Parent/Guardian

Active Duty Military?

Yes

No

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Phone

Home Phone

Work Phone

Email

Emergency Contact - Other than Parent/Guardian

First Name

Last Name

Relationship to student(s)

Mobile Phone

Home Phone

Work Phone

Email

Persons authorized to pick up my child(ren) (Photo ID will be required upon first pick-up)

Please list authorized people to pickup your child(ren)

Student Registration

Please enter the number of students you would like to enroll

First Student

Student will be attending the program:

First Name

Last Name

Gender

Birth Date

2023-2024 Grade Level

Medical Conditions or Allergies (If none, write N/A)

Additional Extracurricular Activities/Programs your student is enrolled (currently or planned)

Second Student

Student will be attending the program:

First Name

Last Name

Gender

Birth Date

2023-2024 Grade Level

Medical Conditions or Allergies (If none, write N/A)

Additional Extracurricular Activities/Programs your student is enrolled (currently or planned)

Third Student

Student will be attending the program:

First Name

Last Name

Gender

Birth Date

2023-2024 Grade Level

Medical Conditions or Allergies (If none, write N/A)

Additional Extracurricular Activities/Programs your student is enrolled (currently or planned)

Fourth Student

Student will be attending the program:

First Name

Last Name

Gender

Birth Date

2023-2024 Grade Level

Medical Conditions or Allergies (If none, write N/A)

Additional Extracurricular Activities/Programs your student is enrolled (currently or planned)

Is there anything else you'd like us to know about your child(ren) or family?

Preferred Email(s) to receive Connect the World information throughout the year

MEDIA RELEASE FORM

I hereby grant permission to the San Diego Yokohama Sister City Society Connect the World afterschool enrichment program to use photographs or videos of my child(ren) for promotional or educational purposes, including but not limited to the program's website, social media, newsletters, and other marketing materials.

I understand that the use of my child(ren)'s image and/or voice is voluntary and that I will receive no compensation for the use of these materials. I also understand that my child(ren)'s image and/or voice may be seen or heard by the public, and that San Diego Yokohama Sister City Society Connect the World will make reasonable efforts to ensure that the materials are used in a responsible and appropriate manner.

I hereby release and hold harmless San Diego Yokohama Sister City Society, the Connect the World afterschool enrichment program, and their agents, employees, officers, directors, and representatives from any and all claims, damages, or liabilities arising out of or in connection with the use of my child(ren)'s image and/or voice.

I have read and understand this Media Release Form, and I agree to its terms.

EDUCATION CONSENT FORM

I give my consent for my child(ren) to participate in the San Diego Yokohama Sister City Society Connect the World afterschool enrichment program. I understand that this program includes educational activities and lessons, as well as field trips and other outings that may take place outside of the program's regular meeting location.

I also give permission to the Connect the World afterschool enrichment program to discuss my child(ren)'s educational records and performance with their teachers and school administrators, as necessary, for the purposes of evaluating and improving their educational experience. I understand that this information will be kept confidential, and will only be used for legitimate educational purposes.

I understand that my child(ren)'s participation in the program is voluntary, and that I may withdraw my consent at any time by notifying the program coordinator in writing. I also understand that my child(ren)'s participation in certain activities or outings may be subject to additional permission slips and waivers, which I will be notified of in advance.

I acknowledge that the San Diego Yokohama Sister City Society Connect the World afterschool enrichment program takes reasonable precautions to ensure the safety of all participants, but I also understand that accidents and injuries may occur. Therefore, I hereby release and hold harmless the San Diego Yokohama Sister City Society, the Connect the World afterschool enrichment program, their agents, employees, officers, directors, and representatives from any and all claims, damages, or liabilities arising out of or in connection with my child(ren)'s participation in the program.

I have read and understand this Education Consent Form, and I agree to its terms.

My signature below indicates that I have read and understand:

◼ Falsifying or omitting any of the information requested may disqualify my child(ren) from receiving Connect the World services.
◼ I am required to pay the applicable tuition rate per month/year in order to receive Connect the World services
◼ I verify the information provided above is accurate to the best of my knowledge.

First Name

Last Name

Signature

Sign Here

2023-24 registration

Connect the World Enrollment

Tuition

Parent/Guardian Registration

First Parent/Guardian

Second Parent/Guardian

Third Parent/Guardian

Fourth Parent/Guardian

Emergency Contact - Other than Parent/Guardian

Persons authorized to pick up my child(ren) (Photo ID will be required upon first pick-up)

Student Registration

First Student

Second Student

Third Student

Fourth Student

MEDIA RELEASE FORM

EDUCATION CONSENT FORM

Contact Us

Links

Our Gallery

Copyright © 2022 SDYSCS All Rights Reserved.

The SDYSCS is a 501(c)(3) non-profit organization. Federal Tax ID #95-6193512

2023-24 registration

Connect the World Enrollment

Tuition

Parent/Guardian Registration

First Parent/Guardian

Second Parent/Guardian

Third Parent/Guardian

Fourth Parent/Guardian

Emergency Contact - Other than Parent/Guardian

Persons authorized to pick up my child(ren) (Photo ID will be required upon first pick-up)

Student Registration

First Student

Second Student

Third Student

Fourth Student

MEDIA RELEASE FORM

EDUCATION CONSENT FORM

Contact Us

Links

Our Gallery

Copyright © 2022 SDYSCS All Rights Reserved.

The SDYSCS is a 501(c)(3) non-profit organization. Federal Tax ID #95-6193512

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