HCS- Before School Enrichment Program Eagles Landing Middle School Enrollment Form 2024-2025

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Thank you for choosing BSEP.

Email *

I understand the program requires a $25.00 tuition fee payable on the Friday before the upcoming week of service. I understand tuition payments will be made using www.myschoolbucks.com. No payments will be accepted at the school for BSEP. *

Yes

I understand that tuition fees pay for staff and resource materials necessary to provide the enrichment program. *

Yes

I understand that the program operates while school is in session. The program does not operate on breaks or holidays. *

Yes

I understand that tuition payments not received by Midnight on Sunday before the upcoming week of service and will incur a $5.00 late fee and possibly make my student ineligible for attendance of the program. Tuition payments are whether the student attends the program one (1) day or five (5) days. *

Yes

Student's Grade Level for 24-25 School Year *

Sixth grade

Seventh grade

Eighth grade

Student's Last Name *

Student's First Name *

Please list all medications and dosage your student will require during BSEP. *

Does your student require any special accommodations? Please explain in detail. *

Parent/Guardian's Name *

Parent/Guardian's Phone Number *

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