Fall Hornet Academy Registration Form

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Thank you for your interest in Halley's Fall After-School Program! Please be sure to fill in all fields before submitting your registration form.

Student's First Name *

Student's Last Name *

Grade Level *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Homeroom Teacher's Name *

Please select one Hornet Academy Club *

Lego Mania (Grades 1st-3rd)

Cooking with Class (Grades 2nd-6th)

Fun and Games (Grades 1st-2nd)

Girls Empowerment (Grades 4th-6th)

Character Counts: Boys Fitness & Character Building (Grades 4th-5th)

Artful Expressions (3rd-6th)

In case your first choice is filled, please select an additional club. *

Lego Mania (Grades 1st-3rd)

Cooking with Class (Grades 2nd-6th)

Fun and Games (Grades 1st-2nd)

Girls Empowerment (Grades 4th-6th)

Character Counts: Boys Fitness & Character Building (Grades 4th-5th)

Artful Expressions (3rd-6th)

Please select your child's mode of transportation once Hornet Academy dismisses at 5:20 *

Bus (Routes and arrival times will be given to parents before the start of Hornet Academy)

Kiss and Ride (I will pick my child up from Hornet Academy each week)

SACC (Your child must already be enrolled in SACC to utilize this accommodation)

I understand my child must abide by Fairfax County Public School's SR&R guidelines. Failure to do so may result in my child being removed from the after-school program. *

Yes. I understand

Required

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