Appleknocker Club Registration 2024-25
Appleknocker Club is an after school care program for current Cobden students in grades Kindergarten through 5th.  This after school care will be offered on school days until 6 pm.  The cost for the program is $4 per hour per student. 

This application and a $10 registration fee must be completed before children are allowed to participate in Appleknocker Club.  Please fill out a seperate form for each individual child.

All Appleknocker Club bills are sent home each Monday and are due by the Friday of that week.  Bills may be paid by cash, check, or online through TeacherEase.  

YOUR CHILD WILL NOT BE ABLE TO PARTICIPATE IN APPLEKNOCKER CLUB IF:
  • YOU HAVE AN OUTSTANDING BALANCE OF $40 OR MORE 
  • IF THEY ARE NOT PICKED UP BEFORE 6 PM

Students who attend the program will provided with a nutritious snack.  Children will have time to complete homework.  Weather permitting, students will be able to play outside with peers.  Reading and drawing will also be encouraged during quiet time.  All school rules apply to Appleknocker Club.  
Email *
Child's Name *
Child's Age *
Child's Birthdate *
MM
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DD
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Child's Grade *
Child's Teacher *
Child's Address *
Medical concerns or allergies?   *
Mother/Guardian's Name *
Phone Number *
Email Address *
Place of Employment
Work Phone
Work Hours
Father/Guardian's Name *
Phone Number *
Place of Employment
Work Phone
Work Hours *
Emergency Contact #1 (Name and Phone Number) *
Emergency Contact #2 (Name and Phone Number)
*
Emergency Contact #3 (Name and Phone Number)
*
My child will attend Appleknocker Club:  *
Required
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This form was created inside of Cobden District #17.

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