High Tech High
HTeM
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Interest Form
This form requires you to enter personal information. If entering information using public Internet (such as in a public library setting), please make sure to fully exit out of the browser to ensure your information remains private.
This form indicates your interest in enrolling your student for the SY 2026-2027 High Tech High - HTeM after school program. Please complete one interest form per student. Submitting this intent to enroll form DOES NOT guarantee enrollment. For questions on completing the form, contact Breanna Castro at brcastro@hightechhigh.org.
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Indicates a required field
Parent/Guardian Contact Information
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Parent First Name
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Parent Last Name
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Email
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Home Phone
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Street Address
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City
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State
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Zip
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Preferred Method of Contact
Phone
Email
Youth Information
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First Name
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Last Name
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Date of Birth
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Grade Level in 2026-27
TK
K
1
2
3
4
5
6
7
8
9
10
11
12
Graduated
Other
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Has your child previously attended the after school program at this school?
Yes
No
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Submit registration packet using online form or mailed packet?
Online
Mailed Packet
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Type of Program Needed:
Before School
After School
Before School Summer
After School Summer
Intersession
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Days of the week the student will attend the program:
MON
TUES
WED
THUR
FRI
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Is your child a homeless or foster youth?
Yes
No
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Does your child require any special accommodations?
Yes
No
Application Year
2026-2027
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