AFTER SCHOOL PROGRAM SIGN UPS

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form allows us quick access to parent/guardian contact information.

It also certifies that permission was given for your child to stay after for our offered programming.

This form is for Launchpad and Kesh Klubs, as seperate Klubs start at 3:20, all students will begin in Launchpad and sign out to a Klub from this location.

Activities are also planned for Launchpad, students are always welcome to stay and enjoy from 3-4pm.

Email *

STUDENT'S NAME *

STUDENT'S GRADE *

5TH

6TH

7TH

8TH

PARENT/GUARDIAN'S NAME *

PARENT/GUARDIAN'S PHONE NUMBER *

HOW IS YOUR CHILD GETTING HOME? *

LATE BUS (BOARDING AT MIDDLE SCHOOL AT 4PM)

WALK (EXIT AT 4PM)

PICKUP (FACTORY SIDE PARKING LOT AT 4PM)

SPECIAL COMMENTS:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Keshequa Central School.

Does this form look suspicious? Report

Forms