Your Name (required)
Student's Name (required)
Your Email (required)
Emergency Contact Information (please list two contacts)
Emergency Contact Name (1)
Emergency Contact Name (2)
Is your child currently under treatment for any medical conditions?
Please list any disabilities (academic, physical, social/emotional), allergies or medical conditions:
My child is up to date on all required immunizations.
In case of emergency, I give my permission for The Sage Colleges to have my son/daughter treated at Albany Medical Center.
Will your child be driving him/herself to Sage?
If your child will be driving him/herself to Sage, please provide the following vehicle information for a parking pass.
License Plate #
License Plate State
Registered Owner Name
Registered Owner Address
My child has permission to leave campus during the lunch hour
Parking passes will be distributed on the first day of the Summer program. Please abide by all parking regulations.