Ballard-Hudson Middle School
Saturday School 2021
Registration Form

Question Title

* 1. Enter your child's student ID

Question Title

* 2. Enter your child's first and last names

First Name

Last Name

Question Title

* 3. Select your child's gender

Female

Male

Question Title

* 4. Enter your child's age and date of birth

Age

Date of Birth
(Format: MM/DD/YYYY)

Question Title

* 5. Select your child's grade

6th

7th

8th

Question Title

* 6. Enter your full name as the parent/guardian of this student

First Name

Last Name

Question Title

* 7. Enter your mailing address

Street Address

City

State

Zip Code

Question Title

* 8. Enter your contact numbers.
These numbers must be current in case there is an emergency situation with your child.

Contact Number 1

Contact Number 2

Contact number 3

Question Title

* 9. Enter your e-mail address

Question Title

* 10. Choose your child's mode of transportation for Saturday

My child will walk

My child will be a car rider

My child will need a bus

My child is a remote learner and will participate

Question Title

* 11. List any allergies or medical conditions for your child.

Question Title

* 12. By entering my name and date below, this constitutes my signature for this online registration.

First Name

Last Name

Today's Date

Ballard-Hudson Middle School Saturday School 2021Registration Form

Question Title

* 1. Enter your child's student ID

Question Title

* 2. Enter your child's first and last names

Question Title

* 3. Select your child's gender

Question Title

* 4. Enter your child's age and date of birth

Question Title

* 5. Select your child's grade

Question Title

* 6. Enter your full name as the parent/guardian of this student

Question Title

* 7. Enter your mailing address

Question Title

* 8. Enter your contact numbers.These numbers must be current in case there is an emergency situation with your child.

Question Title

* 9. Enter your e-mail address

Question Title

* 10. Choose your child's mode of transportation for Saturday

Question Title

* 11. List any allergies or medical conditions for your child.

Question Title

* 12. By entering my name and date below, this constitutes my signature for this online registration.

Ballard-Hudson Middle School
Saturday School 2021
Registration Form

* 8. Enter your contact numbers.
These numbers must be current in case there is an emergency situation with your child.