Carisbrooke After School Program
Carisbrooke Elementary
Contact us at hillghul@gmail.com
3:00 - 4:30 pm
Participants can bring a water bottle + snack
*
OK
Have a question? Contact hillghul@gmail.com
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Coding Mondays. Jan 12 - Mar 9 @ 3 - 4:30 pm
Creative Sewing & Embroidery, Wednesdays Jan 14 - Mar 4 @ 3 - 4:30 pm
Parent/Guardian Name
*
Parent/ Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency number
Parent/ Guardian Email
*
Parent / Guardian Email
*
example@example.com
Student Full Name
*
Any medical information we need to know?
*
Participant's Age
*
Do you give permission for your child to sign themselves in/out?
*
Yes, they have my permission to arriving and going home on their own
No, someone will pick them up
List of names authorized for pick-up
Waiver Agreement, please read before signing
*
I have read and Agree to the Terms and Conditions*
Signature (Legal Guardian)
Signature (Type Full Name of Legal Guardian)
*
Select Program
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Scratch Coding: Brick Breaker
Grade 2 - 6 3:00 pm - 4:30 pm
$135.00 CAD
$
135.00
CAD
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