Winter Club Registration
Clubs meet Monday-Thursday from 2:15-4:00.
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Email *
Student LAST name *
Student FIRST name *
Homeroom (choose from drop down menu) *
Monday Clubs
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Tuesday Clubs (You may choose 1)
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Wednesday Clubs- (You may choose 1)
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Thursday Clubs (You may choose 1)
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Friday Club
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My child will get home from clubs by: *
If club is canceled my child should: *
Phone number where parent/guardian can be reached between 2:30-4:00 pm (___-___-____) *
Distance Learner coming into the building? *
I understand that my child must be picked up NO LATER than 4 pm; repeated late pickups will result in removal from clubs. *
Required
A copy of your responses will be emailed to the address you provided.
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