Registration for Summer Tech Club for students entering grades 4-7

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This program begins at 8:30 a.m. and ends at 11:30 a.m. on June 15, 16, 17 and 18. Seats are limited to 10 students from the north and 10 students from the south. Students will be accepted on a first-come first-serve basis.

Email *

Name(s) of parent/guardian. *

First and last names and ages of child(ren) participating. *

Cell phone number of parent/guardian. *

Where will your child catch the bus? Actual bus times for pickup and drop off will be sent home at a later date. *

Grand Tower Baptist Church

Wolf Lake - Fast Stop parking lot

Reynolds church parking lot

McClure Village Hall

East Cape Tiki Hut

East Cape Karpet Korner (side street on Eastwood Drive)

I will drop my child off at school and pick them up

Other:

To keep transportation expenses down, we will rotate days for north and south bus runs. Students that reside on the north side of the district will attend on Tuesday, June 15 and Thursday, June 17. Students that reside on the south side of the district will attend on Wednesday, June 16 and Friday, June 18. *

My child will attend on Tuesday and Thursday, June 15 & 17.

My child will attend on Wednesday and Friday, June 16 & 18.

Meals are not provided for this program. Students will eat breakfast and lunch at home. *

I understand.

Does your child have any specific health needs that Ms. Cecilia needs to be aware of? If so, please explain. If not, indicate with a no. *

We are so glad you are taking advantage of this opportunity! The funding for this summer program was made possible through an After School Program Grant from the Illinois State Board of Education.

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