PS 179 21st Century Community Learning Centers Electronic Registration Form for Remote (Online) Learning

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This form is only to be used for PS 179 students enrolled into the 21st CCLC program that are participating in remote programming only. Students receiving services in person must use the full paper version (available through your Community School Director--Mr. Greg). This form is only valid for 2020-2021 school year.

If you need help, please contact Mr. Greg at GLoewerJr@schools.nyc.gov / 304-607-2695.

Instructions

This form must be completed in its entirety. This enrollment form is only submitted once the entire form is complete. There are 3 sections: Student Information, Parent Information, and Consent for Photograph/Video Release. Your school's Community School Director (Mr. Greg) will contact you to confirm receipt and submission.

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