Registration

Full Namerequired

Last Name

Middle (optional)

First Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

Agerequired

High School you are Attending?required

What Grade will you be in Fall of 2025?required

9th

10th

11th

12th

School Email Addressrequired

You will receive notification about your acceptance to this email address. Please check regularly.

Genderrequired

Male

Female

Nonbinary

Prefer Not to State

Home Addressrequired

Please add full home address including apartment number if any. 123 Street Ave, #1 City, State, Zip

Primary Parent/Guardian Full Namerequired

First Name

Middle (optional)

Last Name

Primary Parent/Guardian Phone Numberrequired

Emergency Contact Full Name (Not Primary Parent/Guardian)required

First Name

Middle (optional)

Last Name

Relationship to Student (ex. Aunt, Uncle, Sister, Brother)required

Emergency Contact Phone Number (Not Primary Parent/Guardian)required

Will you need transportation?required

Please agree to the following statement: I understand once transportation services are arranged, I am to continue transportation services for all classes, until the completion of the CalAPS semester/year.required

Yes

Does Not Apply

Do you authorize the CalAPS program to take a PHOTO or VIDEO of you to use as advertising material such as flyers, posters and/or social media posts? Photography/Videography Authorization Agreement - I, a parent or guardian of this student, consent to the use of photographs/videotape taken during the course of the school year for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources). I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.required

Yes, I authorize for my photo to be used for advertising purposes as noted above.

No, I do not authorize for my photo to be used for advertising purposes as noted above.

Parent/Guardian Agreementrequired

I agree to the statement below.

PARENT/GUARDIAN AGREEMENT - The student applicant named above wishes to participate in a program of career technical education training offered by California Advancing Pathways for Students. Fill in your full name electronically on the signature line, indicating your consent and approval for your pupil to participate in an off campus placement if the pupil is under 18 years old. Please complete and submit this form. CalAPS classes are established to provide entry level skill training in areas where a job market exists. I understand that it will be necessary for the student to meet the conditions listed below.

He/She is to remain in their CalAPS course until the completion of the class in order to receive the full 10 credits/5credits (depending on course offering).
I understand that my student may be dropped from the class if he/she does not meet these conditions:
- He/She will attend regularly, arrive/log-in on time, and remain for the full class session. The credit and grade he/she will receive for the course may be affected by poor attendance. They may not miss more than 20% of the total scheduled class meeting hours, or my student will be dropped from the program.
- He/She will complete all course assignments.
- He/She will maintain attitudes, behavior, and work standards necessary for placement in the job setting as well as the classroom. Grades will be based on standards, achieved within the course. Demonstration of mastery may be accomplished through course work, exams, and or demonstration of skills through hands on examples.
- The undersigned understands that participation in training with CalAPS may potentially expose students to activities and/or equipment which can lead to accidents and/or injuries. In consideration of Student's acceptance into CalAPS Educational and Training Opportunities, that the undersigned does hereby release, waive, discharge, indemnify, and hold harmless CalAPS, its Board members, directors, officers, employees and agents, from and against any claim for damage, injury, loss or death to the above named student resulting from participation in any class, program or other activity at CalAPS, including any damage, loss or injury resulting from failure to abide by the "Conditions of Participation."
HEALTH CARE AUTHORIZATION: The undersigned hereby authorizes CalAPS and its agents to perform any acts which may be necessary or proper to provide emergency heath care to any student in the event that the Parent/Guardian cannot be reached, including consent to and authorization of medical procedures by physicians, dentists, hospital or other emergency medical personnel, as they, in the exercise of their sole discretion, may deem necessary. The undersigned understands that (s)he is responsible for all costs and expense of such medical treatment.

I HAVE READ THE ABOVE WAIVER AND RELEASE LIABILITY AND BY SIGNING, I AGREE THAT IT IS MY EXPRESS INTENT TO EXEMPT AND RELIEVE CALAPS AND ITS EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY OR WRONGFUL DEATH OTHER THAN CLAIMS THAT ARISE AS THE DIRECT RESULT OF CALAPS' NEGLIGENCE. I CERTIFY THAT I HAVE FULL AUTHORITY TO SIGN THIS RELEASE AND AUTHORIZATION.

Attendance Agreementrequired

If I am accepted into the CalAPS program for the spring semester, I understand that CalAPS follows its own academic calendar and schedule. I agree to attend class on all scheduled days, even if my school district is not in session.

Authorization Signaturerequired

Student Signaturerequired

If a counselor or teacher helped you fill out this registration form, please list their name.

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Fall 2025 Registration Form

Summer Course Registrations

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