2023 EWS ASEP Application
Please complete this application for the EWS After School Enrichment Program. You may submit your payment through UniPay, or your child may bring in cash or a check for $60.00. Please make checks payable to Town of Marshfield (memo: EWS ASEP).  Registrations are due  by February 3, 2023.

*Unipay Note:  If you are paying for more than one child, put the total for all children into the "pay amount" box and include all of the first names in the "first name" box.

Program Dates:
Thursdays March 2-April 6 3:30-4:30 with a Make-up date if necessary 4/13

Contact Erika Joyal at ejoyal@mpsd.org with any questions. Thank you!

Marshfield Public School District is an Equal Opportunity/Affirmative Action employer.  Marshfield Public School District does not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sex, sexual orientation, disability, homelessness, or age in programs, activities, or employment.
Sign in to Google to save your progress. Learn more
Email *
Student's Last Name *
Student's First Name *
Student's Grade *
Student's Homeroom Teacher *
Student Allergies/Restrictions (write "none" if your child has no allergies or restrictions) *
Course Descriptions
Option #1

Class Title: Come Play with Clay, Paper Mache and Paint Away!

Instructor (1): (tentative) Kathyrn Hahn

Class description:

Artistic fun with Mrs. Hahn creating a paper mache, clay and easel painting project.  

Grades 2-5 


Option#2

Class Title: Sew-It

Instructor (2): (tentative) Laura Clancy and Karen Admirand

Class description:

Learn to make an apron using a sewing machine. Students will learn the basics of a sewing machine, how to cut out a pattern, and use bias tape. They will decorate their apron and make other small crafts.

Grades 2-5



Option#3

Class Title: Chess Club

Instructor (1): (tentative) Paul Marshalka

Class description:  

Chess club will feature several aspects of chess play. Learn the basic rules and strategies of chess, the history of the game, and tips for more advanced play. This series will culminate with a tournament on the final day of the program. Learn strategies that will help you, not only in chess, but in school and other games. 

Grades 3-5



Option#4

Class Title: Legos and Board Game Adventures!

Instructor (1): (tentative) Anne Fallacara

Class description:

Come and have fun playing board games with your friends! Choose from Monopoly, Life, Clue, Nok Hockey, Speed Stackers, Twister, Sorry, Scrabble and Legos. Play a different game each week and just have fun!

Grades 2-5


Option#5

Class Title: Outdoor Adventures!

Instructors (2): (tentative) Michelle Simmons and Wendy Hermance

Class description:

Come join us for hikes in the woods around EWS! Maybe we’ll find where a deer has rubbed it’s antlers on a tree. We’ll learn to identify different tracks in the snow and mud. Whether there is snow or no snow, we will make our own kind of fun. Don’t forget your boots, hats, mittens, and snowpants.

Grades  2-5


Option#6

Class Title: Science Club

Instructor (1): (tentative) Kaitlyn Ellsworth


Class description: We will explore and implement the seven steps of the scientific method using simple ingredients found in the average household. We will create things like lava lamps, dancing corn, and have a slime competition! Students will follow instructions, use their observation skills, and make adaptations, all while having fun!


Grades 2-5

First Choice Class *
Second Choice Class *
Third Choice Class *
PARENT/GUARDIAN CONTACT INFORMATION: name, home phone number, work/cell phone number (please separate information with commas) *
EMERGENCY CONTACT 1 (other than parent): name, relationship, phone number (please separate information with commas) *
EMERGENCY CONTACT 2 (other than parent): name, relationship, phone number (please separate information with commas) *
DISMISSAL - Please notify the director, preferably in writing, if there is a change to your selection below. *
CAR LINE PICK UP AUTHORIZATION 1 – Please write the NAME, RELATIONSHIP, and PHONE NUMBER of person 1 (other than parent/guardian) who is authorized to pick up your child from the program. Please separate information with commas. Students will not be allowed to leave without authorization from parent/guardian. Write "none" if applicable. *
CAR LINE PICK UP AUTHORIZATION 2 – Please write the NAME, RELATIONSHIP, and PHONE NUMBER of person 2 (other than parent/guardian) who is authorized to pick up your child from the program. Please separate information with commas. Students will not be allowed to leave without authorization from parent/guardian. Write "none" if applicable. *
EMERGENCY MEDICAL PERMISSION – I authorize medical treatment to be given to my child if needed. I understand that in an emergency, whenever possible, an attempt will be made to contact a parent/guardian prior to the use of this permission. *
PHOTO CONSENT – I authorize the program to use and reproduce photographs taken of my child and to circulate these photographs for advertising or publicity purposes including online publicity (EWS Twitter). *
PARENT/GUARDIAN ELECTRONIC SIGNATURE – by typing my name below, I give my child permission to participate in the EWS After School Enrichment Program. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Marshfield Public Schools. Report Abuse