Video Game Club (Grades 5-8) 
Please note there is a limit of 16 students for this club. 
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Student First and Last Name *
Student Grade Level *
I would like to have my student participate in Video Game Club as an afterschool activity. I understand that there will be 10 sessions. Each session will run from 3:15-4:15 pm. Students are welcome to bring their own gaming equipment and games (E and E+ ratings only) but are responsible for their own equipment. The school will not be liable for lost or damaged student equipment. The cost for this activity is $100. The cost of this activity will be billed to my FACTS account as an incidental expense. *
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First and Last name of Parent/Guardian completing this form. *
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