EmailMe Form - Winter 2020-2021 Virtual Enrichment Registration

Student's Name *

First Last

Month *

Day *

Year *

School Attending

Grade *

Teacher *

Parent or Guardian Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Email address for ZOOM meeting invites (if different from above)

Cell Phone *

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Please Note:

Mondays - 9 classes
(1/11, 1/25, 2/1, 2/8, 2/22, 3/1, 3/8, 3/22, 3/29)

PLEASE NOTE: NASA Space Academy will meet for 5 weeks on the following dates - 1/11, 1/25, 2/1, 2/8, 2/22

Science in Action will meet for 4 weeks on the following dates - 3/1, 3/8, 3/22, 3/29

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CLOSED - Bringing Books to Life for grades PreK - 1st ($170)

CLOSED - Mad Science - NASA Space Academy for grades K - 6th - 5 week class ($110)

Mad Science - Science in Action for grades K - 6th - 4 week class ($90)

CLOSED - Kieren's Backyard Acting Class for grades 3rd - 5th ($250)

None of the above

Tuesdays - 11 classes
(1/12, 1/19, 1/26, 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23, 3/30)

PLEASE NOTE: Art: Clay Studio will meet for 8 weeks on the following dates - 2/2, 2/9, 2/23, 3/2, 3/9, 3/16, 3/23, 3/30

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CLOSED - Art: Clay Studio for grades K - 5th ($320)

CLOSED - After School Chess Club for grades 1 - 5 ($200)

None of the above

Wednesdays - 11 Classes
(1/13, 1/20, 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/17, 3/24, 3/31)

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CLOSED - Monart Drawing - Cartoons & Baby Animals for grades 1 - 6 ($200)

CLOSED - Kieren's Backyard Acting Class for grades 6th - 8th ($300)

None of the above

Thursdays - 10 Classes
(1/14, 1/21, 2/4, 2/11, 2/25, 3/4 , 3/11, 3/18, 3/25, 4/1)

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CLOSED - Mindful Monkey Yoga for grades K - 5th ($310)

Minecraft @ TCS for grades 2 - 8 ($200)

Minecraft @ TCS for grades 2 - 8 - FACULTY STUDENT PRICE ($150)

Minecraft @ TCS for grades 2 - 8 - PRORATED FOR LAST 8 CLASSES ($160)

None of the above

My child has the following allergies or limitations: *