After School Application K-12
Sept. 8- April 22

This is the application for our FREE after-school program, Discover. We are trying to make the application process faster for our families.

Homework/Tutoring is held from 3:30-4:30 each day unless 2 hours of tutoring can be provided.  Enrichment classes (see below) will be held from 4:30-5:30 each day.   If your student ONLY attends from 3:30-4:30 for tutoring, they must be picked up at 4:30 in the Elementary Office. Enrichment activities may change days depending on student needs!

Middle School and High School students who attend the program for tutoring or enrichment classes or both are required to come to the cafeteria each day to sign in and go to the Elementary office to sign out if you are leaving earlier than 5:30.  Please do not leave campus without first signing out.  All K-12 student car riders will be picked up at the cafeteria and all bus riders will need to depart at the designated area from 5:30-6:00.

On the activities portion please fill out only your child's grade level and pay close attention to the activities dates.  If you have more than once child enrolling, please fill out multiple forms.

There is a program calendar on the Jessieville website under ASCENT after-school program.


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电子邮件地址 *
What grade is your child in?   *
Elementary teacher *
Child's last name: *
Child's first name: *
DOB *
年
/
月
/
日
Is your child allowed to be photographed? (photos could be used on the Jessieville website, newspaper, or other media). *
Address *
Parent phone number *
Parent name *
Is it OK to send you info and reminders through...
check all that are a YES
Allergies:
Other health problems we should be aware of:
Transportation:
Select one for the week. Parents must be present at the stop you select or the student will be brought back to the school.
Choose one for transportation *
Enrichment Activity
All students will have 1 hour of homework help from 3:30-4:30. If you want your child to receive 2 hours of tutoring/ homework help please mark below. All enrichment activities change every 6-10 weeks and thus starts a new session. If your child wishes to remain in the program you do not need to re-enroll your child
Academic and Enrichment:
Monday
Tuesday
Wednsday
Thursday
1 hr. academics 3:30-4:30
2 hr. academics 3:30-5:30
academic AND enrichement
Signature *
By electronically signing you are approving this form.
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