River Grove After School Club Registration

After School Club Registration Form

If you complete and submit this online form, you do not need to complete a paper form. See below for club terms.
In order to enable those who wish to pay by check, this form is only for registration. To pay via credit card, please see the link at the end of this form.

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SPRING WARRIORS CLUB INFO

Open to 3-6

Description — Spring Warriors rides again! Explore the campus and trails after school. Decide what we do, or use Ms. Janilla's suggestions. Make some memories this month! Snacks and materials provided. We will be hiking to the Square Lake dock on 5/26, permission slips required. We will be planting seeds to take home and learning about germination.
- Adult Leaders — Alyssa Janilla
- Meeting Days and Frequency — Once a week, Friday 5/5, Thurs 5/11, Fri 5/19, Fri 5/26
- Starting Time — 03:30 PM
- Ending Time — 05:45 PM
- Price per Student — $110
- Option for signing up for 1-4 days? 4 days = $110, 3 days = $83, 2 days = $55, 1 day = $28
- Minimum Number — 4
- Maximum Number — 10
- Club Location — Campus and trails
- Pickup Location at the End of Club — Parent Parking Lot
- Will You be Providing a Snack (Need Food Allergy Info?) — Yes
Student 1 Info
Student 1 Name:*

First NameLast Name
Student 1 Grade and Teacher*
Student 1 Club Sign-up:*

Spring Warriors Day 1 (Thurs 5/11)Spring Warriors Day 2 (Fri 5/19)Spring Warriors Day 3 (Fri 5/26)
Student 1 Club:*

Spring Warriors Day 1 (Thurs 5/11)Spring Warriors Day 2 (Fri 5/19)Spring Warriors Day 3 (Fri 5/26)
Student 1 Club 2:

Running ClubBirding Club - WAITLIST
Student 1: Any Dietary Restrictions?

Do You Have a Second Student?

Yes--go to Student 2 InfoNo--skip to Parent Info Section

Student 2 Info

Unless otherwise noted, additional students from the same family for the same club receive a 25% discount for the additional student(s). The first student is full price. Prices on the on-line payment form reflect this discount policy.
Student 2 Name:

First NameLast Name
Student 2 Grade and Teacher
Student 2 Club Sign-up:

Spring Warriors Day 1 (Thurs 5/11)Spring Warriors Day 2 (Fri 5/19)Spring Warriors Day 3 (Fri 5/26)
Student 2 Club 1:

Running ClubBirding Club - WAITLIST
Student 2 Club 2:

Running ClubBirding Club - WAITLIST
Student 2: Any Dietary Restrictions?
Do You Have a Third Student ?

Yes--go to Student 3 InfoNo--skip to Parent Info

Student 3 Info

Unless otherwise noted, additional students from the same family for the same club receive a 25% discount for the additional student(s). The first student is full price. Prices on the on-line payment form reflect this discount policy.
Student 3 Name:

First NameLast Name
Student 3 Grade and Teacher
Student 3 Club Sign-up:

Spring Warriors Day 1 (Thurs 5/11)Spring Warriors Day 2 (Fri 5/19)Spring Warriors Day 3 (Fri 5/26)
Student 3 Club:

Running ClubBirding Club - WAITLIST
Student 3 Club 2:

Running ClubBirding Club - WAITLIST
Student 3: Any Dietary Restrictions?

Parent/Guardian Info
Name of Parent/Guardian*

First NameLast Name
Phone Number*
Email for Parent/Guardian *
Confirmation will be sent to this address
Email for Parent/Guardian #2 *
For club notifications and reminders
E-Signature of Parent/Guardian*

Clear

Emergency Contact Info
The best person (not the parent listed above) to contact during club times is:
Emergency Contact Name:*

First NameLast Name
Emergency Phone Number*
Relationship to Student(s):*
OK to Pick Your Student(s) Up?*

YesNoOther

Club Terms and Info
- Unless otherwise noted, students should meet the club leader on the path by the Earth building at dismissal.
- Pick up your child at the end of the club time in the location listed (unless noted otherwise).
- Unless otherwise noted, additional students from the same family for the same club receive a 25% discount for the additional student (first student is full price); scholarships are available to those who qualify for free and reduced lunches.
- Club enrollments are on a first-come, first-served basis.
- Payment due at the time of registration. Students will not be registered until payment is processed.
- By signing up for extra-curricular after school activities, you are in agreement with the following statements:
  - Students are expected to follow the school’s behavior plan and respect other participants and leaders.
  - Student absences and weather-related cancellations cannot be refunded.
  - Students will need to be picked up in the locations listed by the end time.
    
    Late fees of $5/per half hour per child may apply.
We will pay for clubs via:*

Online credit card form (after submitting this form)Cash or check (made out to River Grove or MACS)
Payment Info
- To pay online, select "Submit Now" below then select "Pay Online" from the next page.
- To avoid credit card fees, pay by cash or check. Select "Submit Now" below, but skip online payment form.
- - Please use a sealed, labeled envelope and send to the school office.
  - Make checks to "River Grove" or "MACS."
  - Please use blue or black ink.
Should be Empty:

After School Club Registration Form