Afterschool Program Enrollment & Forms
ALL AFTERSCHOOL PROGRAM STUDENTS: Two Part Enrollment Process
Part 1: Submit forms 1-5 below
- You may submit via email, fax, or mail.
- All forms must be submitted before your child can participate in the Afterschool program.
Part 2: Create an account in Daycare Work by clicking the CLICK HERE TO REGISTER FOR DAYCARE WORKS button below.
- Please allow 5 business days for processing. There is a one-time non-refundable registration fee of $25 for each new account.
1. CDI Credit Card Authorization Form PDF (Please download, fill out, save and print)
2. CDI Enrollment & Registration PDF (Please download, fill out, save and print)
3. Preadmission Health Form PDF (Please download, fill out, save and print)
4. Identification and Emergency Information PDF (Please download, fill out, save and print)
5. Consent for Emergency Medical Treatment PDF (Please download, fill out, save and print)
ONLY IF APPLICABLE:
6. CDI Financial Aid Form PDF (Please download, fill out, save and print)
We at CDI and CDI After School want every child to be able to participate in our open classes and after school program but we understand that financial hardships are a reality. We offer scholarships and financial assistance based on the availability of funds and the needs of our clients. There are fundraising and volunteer opportunities for parents to help offset costs as well. If you are in need of financial assistance, please click on the link above, CDI Financial Aid Form PDF, to fill out our confidential application.
Print out the completed form and email it to firstname.lastname@example.org
or mail it to:
Coach Derek Inc.
2711 N Sepulveda Blvd. Suite 211
Manhattan Beach, CA 90266.
Or FAX to:
7. CDI Afterchool Cancellation Form PDF (Please download, fill out, save and print)
If you already have an account with Daycare Works, click HERE
Directions for Enrollment & Registration
Fill out and submit all required forms.
After submitting forms, click REGISTER FOR DAYCARE WORKS, above, to complete registration.
Please allow up to 5
business days for processing.