MG Virtual After School Program

MAGNOLIA VIRTUAL AFTER SCHOOL PROGRAM

2020-2021
Students must register to participate in the Virtual After School Program. Once registered, program staff will contact students/guardians to inform them about:
- program dates and times
- the Google Meet ID needed to login to the activity
- information about the activity kit pick-up
STUDENT INFORMATION
Student Name *

First Name Last Name
School *
Teacher *
Grade *
Special Education (IEP/504) *

Yes No
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name *

First Name Last Name
Cell Number *

Area Code Phone Number
E-mail
STUDENT RECOMMENDATIONS

Students - We need your help. Tell us about your interests. Share with us the type of activities you want us to provide. Help us plan for fun and engaging projects for you.
Interest/Idea/Recommendation
Interest/Idea/Recommendation
Interest/Idea/Recommendation
PROGRAM RULES

To ensure that every student is in a safe, constructive environment, all participants will adhere to the OJUSD conduct code and the program rules.
- Students will be kind and respect self and others.
- Students will not behave in a way that disrupts the classrom.
Parent/Guardian Name *
First and Last Name
Date Signed
Please direct all questions to the Virtual After School Program office

at (209) 848-4884.
It is the policy of the ASPIRE after school program to provide equal access to its program and not to discriminate on the basis of gender, race, national origin, religion, disability, or any other legally protected class. Affirmative steps will be taken to reasonably accommodate otherwise qualified individuals in its program in a manner that is consistent with state and federal law.
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MAGNOLIA VIRTUAL AFTER SCHOOL PROGRAM