Child’s Name: _____________________________________________ Male _____ Female _____ Mailing Address: ________________________________________________________ Parent/Guardian Name: ___________________________________________________ Best Phone Contact: ____________________________________ Parent Email: _________________________________________ School: ____________________________________ Bus ________ Grade (2017-2018) _________
Before School Extended Day *This program will only run if supported by sufficient enrollments. Notice will be given if program is cancelled.
7:00 a.m. until the start of the regular school day. $4 per day. Students must be registered to attend – NO DROP-IN’s. Galvin’s breakfast program will be available (cost of breakfast not included). Days: Monday _____ Tuesday _____ Wednesday _____ Thursday _____ Friday _____
After School Extended Day End of school day until 6:00 p.m. (cost $18.00 per day; snack included). Students must be registered to attend. Days: Monday _____ Tuesday _____ Wednesday _____ Thursday _____ Friday _____ Please include a non-refundable registration fee of $45 by August 1st, 2017. There is a $75 maximum registration fees cap for families with multiple children that register by August 1st, 2016. Registrations received after August 1st, 2017 increase to $55/student with an $85 family cap. Checks should be made payable to Wakefield Academy. The fee is per child and covers both programs. Registration forms may be returned to the Site Coordinators, sent to the school office, or mailed to Wakefield Academy at 60 Farm Street, Wakefield, MA 01880. Enrollment & Health Forms are also needed before a child can begin. Parents and students must also read and sign agreement form in the Wakefield Academy Handbook. Once we receive your Registration Form we will send the additional forms home with your child or you may print the entire set of sign-up forms available on-line @ http://wakefieldpublicschools.org/WPS/wakefield-academy/ Present grade level _______________
Next year’s grade level ________________
This information is needed to send home additional forms and receipt with students. Should you need this information translated, please contact the principal of your child's school. En caso de necesitar esta información traducida, por favor comuníquese con el director de la escuela de su hijo. Se você precisar de informações traduzido, por favor, entre em contato com o diretor da escola do seu filho.
in track and field at age 13, trying it during physical education class in school⦠Outside Interests: Works as a gym attendant at the Tournament Capital Centre in Kamloops⦠Studied kinesiology at the. University of Saskatchewan (2009-11), complet
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Date. Time Slot. Available (Y / N). A. Saturday June 23rd. 8:00A to 12 N. B. Saturday June 23rd. 12 N to 4 PM. C. Saturday June 23rd. 4 PM to 8 PM. D. Saturday ...
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