Leland & Gray Middle School After School Clubs Registration, Session #1
Here is the Leland & Gray Middle School registration form for our session #1 clubs.  Clubs will run Monday - Friday, 2:45p - 4:30p, November 8th - January 20th. PLEASE NOTE, in the event of an early dismissal/half day, there will be no clubs that day.

**THERE WILL BE NO LATE BUS PROVIDED DURING THIS SESSION**
**THERE WILL BE NO CLUBS ON WEDNESDAYS DUE TO WINTER ACTIVITIES**

Sign in to Google to save your progress. Learn more
Student's Name (First & Last) *
Student's School Email *
Grade *
Parent/Guardian's Name (First & Last) *
Email *
Telephone (Home) *
Telephone (Work/Cell) *
Emergency Contact Name (First & Last) *
Emergency Contact Phone Number (must be able to be reached during club hours) *
Pick Up Person (First & Last Name)
Do we have permission to photograph/video your child? *
Monday *
Required
Tuesday *
Required
Thursday *
Required
Friday
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Windham Central Supervisory Union. Report Abuse
Google Forms