21st Century AfterSchool Program for Q4-- Kualapuu

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This is the on-line application for 21st Century School enrollment for 4th Quarter April 5, 2021 - May 21, 2021. These classes are Face to Face. All students must wear masks, stay 3-6 ft apart, and wash hands. First come first served. Complete 1 application per child. There is NO TRANSPORTATION offered, and parents must drop off and pick up children. Also, NO SNACKS are being provided. Students must bring their own water bottle and snacks. All classes are limited capacity because of distancing requirements in each facility.

Note for Enrollment: Priority for classes will be students who have not enrolled in either class. Please complete form by Wednesday, March 31st.

Questions? Please contact Lydia_Trinidad@kualapuu.k12.hi.us (Principal) and Dara_Makaiwi@kualapuu.k12.hi.us (AfterSchool Aide)

Email *

Parent Phone Number

PARENT Name *

STUDENT Name: LAST NAME *

STUDENT Name: FIRST NAME *

Student Grade in 2020-2021 *

Course Offerings-- Please mark all that you are wanting your child to attend. *

Cursive Writing with Ms. Martinez (MONDAY AND WEDNESDAY, 3-4pm)

Ceramics and Arts at the Molokai Arts Center -- MONDAY SESSION. 3:30-4:30pm (Small group in person art classes, social distancing, must wear face masks. Parents responsible for dropping off and picking up children.)

Ceramics and Arts at the Molokai Arts Center -- THURSDAY SESSION. 3:30-4:30pm (Small group in person art classes, social distancing, must wear face masks. Parents responsible for dropping off and picking up children.)

Comments/Questions? (Optional)

I agree to the expectations and requirements of our afterschool program. *

Yes, I have read the expectations and requirements of our afterschool program.

Required

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