Extracurricular Activities Registration Form

Extracurricular Activities Registration Form
Student Information
Name

First NameLast Name
Class
Teacher
Email
example@example.com
Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
In case of emergency, the Parent/Guardian will be contacted based on the information below:
Name

First NameLast Name
Primary Phone Number
Secondary Phone Number
Email
example@example.com
Extracurricular Activities
REMINDER: You can only select 1 activity per day.

Extracurricular activities take place from Monday through Thursday

Activities for children aged 3 - 12
Monday

Ballet (3:15pm-4:30pm)Taekwondo (3:15pm-4:30pm)
Tuesday

Piano (3:15pm-4:30pm)
Wednesday

Creative Writing (3:15pm-4:30pm)
Thursday

Roller Skate (3:15pm-4:30pm)Light it Up -Bible Club (3:15pm-4:30pm)
Is the child currently committed to activities outside school?

YesNo
Registration Fee
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Ballet LessonsWhether you're a budding ballerina or simply want to explore the magic of dance, our ballet extracurricular activity is the perfect opportunity to pirouette into a world of creativity and grace.
800.00GHS Quantity



Taekwondo LessonsJoin our exciting Taekwondo extracurricular activity and embark on a journey of physical fitness, mental strength, and self-confidence.
800.00GHS Quantity



Piano Lessons Discover the magic of music with our Piano Extracurricular Activity! Through fun and engaging lessons, students will develop their musical talents, gain confidence, and experience the joy of making beautiful music.
800.00GHS Quantity



Roller Skate Join the Roller Skate Club and glide into a world of fun and fitness! Strap on your own roller skates and helmets as we roll into action. Whether you're a seasoned skater or a newbie on wheels, our club welcomes all skill levels.
700.00GHS Quantity



Creative Writing LessonsAre you ready to embark on a literary adventure like no other? Dive into the world of words, where your imagination knows no bounds. Our Creative Writing Extracurricular Activity is your passport to a realm of limitless possibilities.
600.00GHS Quantity



Light It Up This exciting extracurricular activity is a beacon of positivity, offering children a warm and welcoming space to explore the teachings of the Bible, build strong friendships, and engage in meaningful discussions.
600.00GHS Quantity



Total

0.00GHS
If yes, please list them below:
REMINDERS:
- Parents are not eligible for refunds in the case of missed sessions.
- Students who registered in these activities must attend these programs as per schedule.
- A waiver from parent/guardian is needed to complete this registration.
- Payments must be made prior to the commencement of activities
- All children are required to have the required costume for each activity.
PAYMENT DETAILS

MTN MOMO

ACCOUNT NAME : LEARNING HIVE CENTER

ACCOUNT NUMBER: 024-723-8873

BANK DEPOSIT / TRANSFER

BANK NAME : GUARANTY TRUST BANK ( AIRPORT RESIDENTIAL)

ACCOUNT NUMBER : 202114166110

NAME OF DEPOSITOR : (YOUR CHILD'S NAME)
Parent/Guardian Signature

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Extracurricular Activities Registration Form

Student Information

Parent/Guardian Information

Extracurricular Activities