Request edit access
After School Clubs Registration
All After School Clubs are free of charge. Fill out form below & send. A separate permission sheet must be signed by the parent or guardian before a student can attend any clubs. Those will be given to the student to bring home.
Name *
Your answer
Address *
Your answer
Grade *
Demographical Information for statistical purposes only *
Parent/Guardian's Name *
Your answer
Number for Parent/Guardian to be reached between 3:32 & 5:00 PM *
Your answer
Emergency Contact *
Your answer
Emergency Contact - phone number *
Your answer
Relationship to Student *
Your answer
Special needs, allergies or medical information
Your answer
First Quarter Clubs Choices
*Please check the box by the clubs you will attend*
Ambassador Club
Only offered the 1st & 3rd Fridays of each month 3:50-5:30PM
"Book 2 Movie" Club
Every Wednesday - entire quarter 3:50-5:00PM (LIMIT 6)
Bowling Club
Every Wednesday - entire quarter 3:50-5:00PM (LIMIT 20)
Chess Club
Every Tuesday - entire quarter 3:50-5:00PM (LIMIT 10)
Games & More Games Club
Every Tuesday & Thursday - entire quarter 3:50-5:00PM (LIMIT 10)
Homework Club
Every weekday M-F Available from 3:30-5:00PM
Kindness Committee Club
Every Monday - entire quarter (LIMIT 10) 3:50-5:00PM
Pioneer "Hangouts" Club
Every weekday M-F - entire quarter 3:50-5:00PM
Trading Cards Game Club
Every Thursday - entire quarter 3:50-5:00PM (LIMIT 15)
Robotics "Pioneer Bots" Club
Every Monday, Tuesday, Wednesday & Thursday- entire quarter 3:50-5:00PM
Spirit Club
Every Monday, Tuesday & Wednesday - entire quarter 3:50-5:00PM
Vinyl Design Club
Every Monday & Thursday - entire quarter (LIMIT 12) 3:50-5:00PM
Never submit passwords through Google Forms.
This form was created inside of Nebraska City Public Schools. Report Abuse - Terms of Service