Tiger Cafe Sign Up/Permission Slip

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Tiger Cafe is an after school support program for Newport Middle School students who are currently receiving at least one 1 or IWS in an academic standard. Tiger Cafe is held from 2:30-4pm Monday-Thursday.

School bus transportation may make limited stops, so students may have to walk home from their bus stop. We will have more information once we know how many students will need transportation. If your student will not be riding the bus, a parent or guardian must arrive prior to 4pm for pick up.

Tiger Cafe Rules and Expectations:

All School and classroom rules apply while in Tiger Cafe.
Students will come prepared to learn.
Students will bring their chromebook, a writing utensil and the work that needs to be completed.
Students will work independently and may ask for help from the Tiger Cafe staff if needed.
Students may only work together if it is needed for a group assignment. The Teacher who gave the assignment must let the Tiger Cafe staff know.
The Tiger Cafe staff may choose to have assigned seats to better serve the students and create structure in the Tiger cafe classroom.
If students are being disruptive and not following rules they will be given a warning. If it continues the student will be sent to the office and their guardian will be called.
If any student is not able to follow the rules and expectations they will not be allowed to attend Tiger Cafe for the remainder of the school year.

**IF YOU HAVE MULTIPLE STUDENTS WHO YOU WOULD LIKE TO HAVE ATTEND, PLEASE COMPLETE THIS FORM FOR EACH CHILD. ** https://forms.gle/FU9SKD16fHTqA4m36

If you have any questions or concerns please reach out to Ms. Hiscoe in the Middle School office. jhiscoe@sau43.org 603-865-9687

Email *

Child Name (First and Last) *

Your Name (First and Last): *

Relationship to Student: *

Mother

Father

Guardian

Other:

Best contact number for you: *

Grade *

Select all of the days your child will attend: *

Monday with Ms. Green and Mr. Zetlin

Tuesday with Ms. Greene and Mr. Zetlin

Wednesday with Mr. Zetlin

Thursday with Mrs. Botelho and Ms. Roy

Required

Will your child be taking the bus to get home? *

Yes

Sometimes

Please provide your address ONLY IF your student is taking the bus home.

Emergency contact name and phone number (someone OTHER than yourself): *

We will be providing snacks at Tiger Cafe. Are there any dietary restrictions or allergies that we should be aware of? *

Is there anything else we should know to help us support your child at Tiger Cafe?

Send me a copy of my responses.

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