AFTER SCHOOL PROGRAM EXCEL STUDENT REGISTRATION
Parents/Guardians, please complete all parts of the form below. Thank you for your interest in this free online enrichment program from 3:30-5:30 from Monday through Friday.


登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
Student (Last Name, First Name) *
Student Grade Level (1st grade through 8th grade ONLY) *
Parent/Guardian NAME and Contact Number *
Emergency Contact (NAME & Number) *
Home address *
I consent to allow the Newark Public Schools to use photos of my child participating in various activities of this program to showcase the program and the activities available. The photos may be used to promote the program. Therefore, no fees will be paid to me or to my child by the Newark Public Schools. *
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Newark Public Schools 中建立。 檢舉濫用情形
Google 表單