Name of Child:

Phone:

Teacher:

Grade:

Email: (Club confirmations will be e-mailed by Sunday, March 4)

I would like to participate in: (please number your preferences or leave blank if not interested in a club)

Classic Movie Club: Mondays, 4th – 6th grades, Free (Escape to Witch Mountain, The Apple Dumpling Gang, Chitty Chitty Bang Bang) Board Game Club: Tuesdays, 3rd – 5th grades, Free Basketball Club: Thursdays, 2nd – 6th grades, Free (4 week club)

*

All fees due at first class

If available, I would like to participate in more than one club.

At the end of each class my child will: be picked up at the school

walk home

attend Red Rocks

Emergency Contact Information: Name:

Phone Number: _______

____

I give permission for _____________ __________to participate in the above selected after school program(s) and understand that participation is dependent on the following of all school rules and regulations.

Signature

Relation to child

Must be signed by a parent or guardian and returned to the teacher or front office. Enrollment Deadline: 8:30am Thursday, March 1, 2018

2017 - 2018 Club Registration Session 2.pdf

Page 1 of 1. Name of Child: Phone: Teacher: Grade: Email: (Club confirmations will be e-mailed by Sunday, March 4). I would like to participate in: (please number your preferences or leave blank if not. interested in a club). Classic Movie Club: Mondays, 4. th – 6. th grades, Free (Escape to Witch Mountain, The.

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