Homework Club Registration
This form will register your student for Homework Club, which offers a fun opportunity to work on homework at school with fellow students and volunteers from the community. Students will receive homework help and snacks! This club will take place from 3:00pm to 4:00pm on Mondays starting September 16th.
Student Name
First Name
Middle Name
Last Name
Grade
Please Select
First
Second
Third
Fourth
Fifth
Sixth
Your E-mail
example@example.com
Who will be picking up your child from school clubs?
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Signature
Continue
Continue
Should be Empty: