Thank you for choosing Via West! We are very excited to have you join us!
Please review and complete the forms listed below, making sure to follow all of the instructions carefully. With the exception of the Medical Form, you will be able to complete the following forms on your own:
- 2021-2022 Participant Application
- Parent/Guardian Consent
- Photo Release & Consent Agreement
- Field Trip Permission Slip & Liability Waiver
- Electronics Policy & Agreement
- Medication Safety and Over-the-Counter Medications
- Packing List
- Medical Form Please note that the Medications List is now part of the Medical Form, which is to be signed by a licensed physician.
- Photo of the Participant Please submit a copy.
- Covid-19 Vaccination Card Please submit a copy.
Please have all paperwork completed and returned as soon as possible. The deadline is 31 days prior to the start of your session.
You may also email completed forms to our Admissions Manager Kim Nguyen at [email protected] or fax them to (408) 243-0452. You can also mail to 2851 Park Ave, Santa Clara, CA 95050. If you have any questions or concerns, please email Kim Nguyen or call 408-243-7861 ext. 214. We are excited to have your participant at Via West and look forward to seeing you soon!