Q4 Wednesday Enrichment Club Proposal Form- FORM DUE February 25th, 2022
Quarter 4: (7 sessions) April 13, 20, 27 and May 4, 11, 18, 25

Club Leader Information for 2021-22:
Thank you for your interest in doing a club a TES!  This year, we are starting the year with some COVID prevention measures that we want to make sure club leaders are aware of.  In addition, all club leaders must read and sign the club agreement: https://docs.google.com/document/d/15udhBhe_s6DYKj9BqRqVEUYvi2iMkkJAgqMIlkYG0TA/edit?usp=sharing
1- all leaders will have to be masked at all times during the clubs, even if vaccinated
2- groups must be K-4 (elementary) or 5-8 (upper) (they can be K-2, or 2-4 or 7-8 etc, but the elementary and upper school age groups cannot overlap.
3- club leaders will have to complete a health questionnaire each week and report any COVID symptoms.

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Club Title: *
Club Leader Name *
Cancelling a club is impossible, as both parents and the school are relying on  the club for child-care. Therefore, club leaders are responsible for having a   substitute, who has passed a background check, in case the leader is absent. It   is suggested to work in a pair.
Leader Email *
To enter multiple emails, use comma to separate
Leader Phone Number *
Co-Leader/Back Up Name *
Co-Leader/Back Up Phone *
Targeted age group: *
(by grade level)
Required
Minimum number of students for club to run: *
Maximum number of students: *
Club fee: *
(per student, for all session--see club webpage to learn about how many sessions each quarter
Would you be willing to off a scholarship to attend your club? *
Type yes (and list how many spots) or type no
Club hour(s) offered: *
Clubs may be offered for one or two hours. Clubs may repeat with new  students the second session.
Required
Engaging Club Description (to entice students to enroll): *
Will this club need to have students access computers? *
Materials required from the school: *
Space required other than a classroom: *
(Clubs will be conducted in a classroom unless otherwise requested below)
How Will Parents Pay For Your Club? *
Notes
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