IS228 Club and Academic Selection Form

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Our Fall Club classes will begin on 10/16/23 and end 12/21/23. Please complete the interest form to choose the classes that best suits you. As a reminder, these classes are not meant to create a full schedule. If you need consistent afterschool for your child, please sign up for the NIA Empire Program.

Academics will begin 10/16/23. End dates vary based on the class. Please be sure your child is the appropriate grade for the class you are choosing.

**If you are interested in SHSAT, please complete the separate form posted in your grade level Google Classroom**

You must have a completed paper application (available in room 113) to begin program.

Students will receive their schedule during the 1st week of program.

Email *

Student Last Name *

Student First Name *

Student Class *

Student DOE Email Address *

Parent/Guardian Full Name *

Parent/Guardian Phone Number *

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