registration Form - stem After school program - 2018/2019


The program will run on Mondays and Thursdays from 3:00 PM to 5:30 PM.  We may offer additional afternoons if demand exceeds capacity. 
The program has two sessions:

  • Session 1 runs from September 17, 2018 through December 20, 2019
  • Session 2 runs from January 7, 2019 through May 2, 2019

Students can choose to participate 1 day/week - either Mondays or Thursdays or 2 days/week - Mondays and Thursdays.
You may select one or both Sessions.  Select which day or days you want your child enrolled in each Session's pull-down button below.

You must read and accept the NHAS STEM Program Policies to proceed with your application. By checking the accept button below, you and your child agree to abide by the terms of all policies.
NHAS Policies *
Parent or Legal Guardian *
Parent or Legal Guardian
Address of Parent or Legal Guardian *
Address of Parent or Legal Guardian
Student Address
Student Address
Enter ONLY if address is different from parent.
Parent or Legal Guardian Phone Number *
Parent or Legal Guardian Phone Number
Student Home Phone *
Student Home Phone
Additional contact name in Case of Emergency *
Additional contact name in Case of Emergency
Additional contact Phone Number in Case of Emergency *
Additional contact Phone Number in Case of Emergency
YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU SUBMIT YOUR PAYMENT!