Student Information

Thank you for your interest in signing your student up for Middleburgh Central School District's After School Program for Elementary and Jr./Sr. High School Students AND/OR the High School Tutoring Program. Please begin the online registration process by completely filling in the information below for your STUDENT.

* 1. Grade Currently Enrolled (Grades 3-12 only)

* 2. Student's Last Name

* 3. Student's First Name

* 4. Student's Gender

* 5. Home Phone Number

* 6. Student's Full Address (Street, City, State, Zip Code)

* 7. Insurance Card Number

* 8. Doctor's Name

* 9. Doctor's Phone Number