Dawg House
OMS Dawg House is a before school program that provides a quiet and safe environment for your child on delayed start Wednesdays.  The program will run on each delayed start Wednesday from 7:30-9:00 am.  To register your child, please complete this form and return it to our middle school office.  Space is limited.
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Email *
Student's First Name *
Student's Last Name *
Grade *
Approximate time you will be dropping off your student. *
Parent/Guardian's Name *
Phone Number *
Additional parent/guardian phone number *
In case of emergency and I am not available, please contact. *
Emergency Contact's Phone Number *
Additional phone number for emergency contact. *
My student is in good health and I, the parent or guardian, assume the responsibility of my child's state of health while at the OMS Dawg House Program with the understanding that I will be notified immediately when anything unforeseen in this regards occurs.  Typing your name below symbolizes your signature. *
I would like the OMS Dawg House to be aware that my child has the following activity restrictions or special needs.  If your child does not have any special needs or restrictions please note that below as well. *
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