Student Information
Name
*
First Name
Last Name
Student's Class
*
Please Select
Brown Bears
Polar Bears
Honeybees
Dolphins
Whales
Elephants
Pandas
Parent(s)/Guardian(s) Information
Parent Name
*
First Name
Last Name
Parent Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Emergency Contact Information
In the case of an emergency, we will contact the primary emergency number that was provided to the Glenn School or an alternative number by selecting "other". If "other" is selected, a specific name and phone number must be provided.
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
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Enrichment Classes
Select all enrichment classes that your student plans to attend. ***Registration for these enrichment classes is SEPARATE from this form. This is only for logistical planning for lunch bunch staff.*** Wednesday Enrichment classes are not listed here because lunch bunch is not offered on Wednesday. Lunch is handled separately these days for the enrichment staff.
Enrichment Classes Your Child Will Attend AFTER Lunch Bunch (see notes above about registration for Enrichment Classes)
*
Tapping Tots - Monday @ 1-2
Youthful Yogis - Monday @ 1-2
Playball - Tuesday @ 1-2
Ps and Cues - Tuesday @ 1-2
Ps and Cues - Thursday @ 1-2
Pre-Ballet - Friday @ 1-2
SoccerShots - Friday @ 1-2
No Enrichment Classes - Lunch Bunch Only on All Days
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Lunch Bunch Attendance Selection
There will be no refunds, adjustments, or makeups for missed days, including illness or school closure. Space is limited and registrations are accepted on a first-come, first-served basis.
I would like to enroll my student for all available lunch bunch days.
*
Yes, enroll in all available.
No, I would like to pick select days.
Please note - your student is only eligible for Monday and Friday lunch bunch sessions. Please do NOT register for Tuesday and Thursday.
Please note - your student is only eligible for Tuesday and Thursday lunch bunch sessions. Please do NOT register for Monday and Friday.
January
Week of January 6 - 10
Tuesday
Thursday
Friday
Week of January 6
Week of January 13 - 17
Monday
Tuesday
Thursday
Friday
Week of January 13
Week of January 20 - 24
Tuesday
Thursday
Friday
Week of January 13
Week of January 27 - 31
Monday
Tuesday
Thursday
Friday
Week of January 27
Total Days Enrolled in January
Subtotal - January
February
February 3 - 7
Monday
Tuesday
Thursday
Friday
Week of February 3
February 10- 14
Monday
Tuesday
Thursday
Friday
Week of February 10
February 24 - 28
Monday
Tuesday
Thursday
Friday
Week of February 24
Total Days Enrolled February
Subtotal - February
March
March 3 - 7
Monday
Tuesday
Thursday
Friday
Week of March 3
March 10 - 14
Monday
Tuesday
Thursday
Friday
Week of March 10
March 17 - 21
Monday
Tuesday
Thursday
Friday
Week of March 17
March 24 - 28
Monday
Tuesday
Thursday
Friday
Week of March 24
Total Days Enrolled March
Subtotal - March
April
March 31 - April 4
Monday
Tuesday
Thursday
Friday
Week of March 31
April 14 - 18
Monday
Tuesday
Thursday
Week of April 14
April 21 - 25
Monday
Tuesday
Thursday
Friday
Week of April 21
April 28 - May 2
Monday
Tuesday
Thursday
Friday
Week of April 28
Total Days Enrolled April
Subtotal - April
May
May 5 - 9
Monday
Tuesday
Thursday
Friday
Week of May 5
May 12 - 16
Tuesday
Thursday
Friday
Week of May 12
Total Days Enrolled May
Subtotal - May
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Lunch Bunch Enrollment Summary
Total Number of Lunch Bunch Days Enrolled
Lunch Bunch Subtotal
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Payment Options
All lunch bunch enrollments are subject to a one-time $40 administration fee. Payments by credit and debit card are subject to additional processing fees.
How do you wish to complete payment for lunch bunch enrollment?
*
Credit Card (+3.5% processing fee)
Debit Card (+1.5% processing fee)
Check (please submit to Glenn School (Attn: Beth Smith), 1660 N Decatur Road, Atlanta 30307. Include memo: Lunch Bunch - Student Name)
Please submit check for the following amount:
Lunch Bunch Total + $40 Administrative Fee
Amount to be charged
Payment Amount
*
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( X )
USD
Lunch Bunch Total + Processing Fee + $40 Administrative Free
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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