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4-H Afterschool Forms

Afterschool Forms

Would you like to apply to be a 4-H After School Program Activity Leader?  Download the application below and return to Susan Salisbury.

Afterschool Employment Application

Thank you for your interest in our 4- H After School Program. Below are the forms that you will need to start to enroll your child in either the Cobleskill-Richmondville or Schoharie Central School 4-H Afterschool Program. On the top are the forms that are needed for both school and below you will find school specific forms. 

Enrollment Forms (both schools)

Health Screening One-Time Attestation

Afterschool 2020 Handbook

Afterschool Enrollment Checklist

Identification and Emergency Information Card

4-H New Member Enrollment Form

One-Call Notifier

Release and Code Word Form

Child Profile

Allergy Information Form

Emergency Treatment/Medical Release

Medical Statement of Child in Childcare

Consent to Share and Obtain Information

Homework Help

Cobleskill-Richmondville Central School Forms

Cobleskill-Richmondville Pick-up Policy

Cobleskill-Richmondville Transportation Form

Schoharie Central School Forms

Schoharie Pick-up Policy

Schoharie Transportation Form

Contact

Susan Salisbury
After School Program Coordinator
sms248@cornell.edu
518-234-4303 x122

Last updated August 21, 2020