ACHIEVE LAB WAITING LIST REGISTRATION
Lab Date(s): 
LABS ARE NOT HELD ON FRIDAYS DUE TO SCHOOL WIDE PROF. DEVELOPMENT

Trimester 1- First Day, 8/22/22 - 11/04/22, Last Day (NO Labs 10/31/22)
Trimester 2- First Day, 11/07/22 - 2/24/23, Last Day
Trimester 3- First Day, 2/27/23 - 6/1/23, Last Day (NO Labs the last week of school, 6/5/23)

Lab Time: 
4:00pm to 5:15pm, LATE CHARGES ARE APPLIED STARTING AT 5:20pm at a rate of $5 a minute (FEES MUST BE PAID AT THE TIME THEY WERE INCURRED & BEFORE RETURNING TO LABS) NO EXCEPTIONS. If an Achiever is not picked up by 5:20pm, the Riverside County Sheriff is required to be contacted. PLEASE BE ON TIME!!!

Lab Details: 
Achieve Labs are the extracurricular options available to all Achievers After School. Achievers MUST have an interest and be registered in a Lab to stay After School. If an Achiever is not Registered for a Lab, they CANNOT be left After School due to minimal supervision. An Achiever may Register for as many Labs as they would like, as long as there is space. Additionally, there is one form Registration per Lab for the Waiting List. Please complete a separate Registration for each Lab Waiting List Spot.  THIS DOES NOT GUARANTEE ACCEPTANCE INTO THIS LAB. YOU WILL BE CONTACTED IN THE ORDER THAT YOUR REQUEST WAS RECEIVED SHOULD A SPACE BECOME AVAILABLE.

To ensure equity, Achievers will be able to Register for a new Lab every Trimester or Re-Register for the same club. Registrations are open until all spots are filled. Should the Lab be closed due to full enrollment, Achievers may join the Waiting List found HERE.
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Email *
Achiever's Last Name *
Achiever's First Name *
Achiever's Garvey/Allen E-Mail  *
AcHiEvE LaB Choice: *
Parent or Guardian Last Name *
Parent or Guardian First Name *
Parent or Guardian's Cell Phone Number *
May we Text you? *
Required
Achiever Dietary restrictions *
I would like to donate to ACHIEVE LABS for After School Snack *
Required
I would like to donate the following *
Required
Emergency Contact Information
The person(s) listed below (First & Last Name as stated on ID) is allowed to pick up my Achiever on my behalf & be contacted in case of an emergency. They have been informed they must show a photo ID and be over the age of 18. 
Contact 1 First Name *
Contact 1 Last Name *
Contact 1 Cell Phone Number *
Contact 2 First Name (or input N/A) *
Contact 2 Last Name (or input N/A) *
Contact 2 Cell Phone Number (or input N/A) *
Contact 3 First Name (or input N/A) *
Contact 3 Last Name (or input N/A) *
Contact 3 Cell Phone (or input N/A) *
Terms & Agreements
Parent/Guardian please type your full name (First & Last) if you agree with the following:
By inputting my First and Last name below, I understand and agree that my Achiever MUST be picked up no later than 5:15pm when participating in AcHiEvE LaB. If I do not pick up my child by 5:15pm a $5.00 fee a minute will be charged. I further understand that this fee is due upon arrival & BEFORE the Achiever can return to AcHiEvE LaB. Should I neglect to pay any outstanding fees, I am aware and agree that my Achiever will not be able to return to Labs. If an Achiever is picked up late more than three (3) times in a Trimester, they will be removed from the Lab until the next Trimester.  *
By inputting my First and Last name below, I understand and agree that my Achiever MUST arrive on time to their respective Lab in the location identified. Further, I will speak with my Achiever regarding the importance of their timeliness to AcHiEvE LaBs. I also understand and agree that if my Achiever arrives after 4:00pm more than three (3) times, they will be removed from Labs for the remainder of the Trimester.  *
By inputting my First and Last name below, I understand and agree that my Achiever MUST exhibit behavior the Garvey/Allen Way. Disrespect, non compliance, or lack of effort and interest will result in removal from Labs for the remainder of the Trimester. I understand that my Achiever MUST have an interest in the Lab and if not, should not register just to stay After School.  *
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