3rd Grade - 2020 FES Saturday Program
Third Grade students participating in this program will receive instruction emphasizing social and emotional development, cross-curricular learning in math and reading; as well as problem solving and critical skills. Through STEM related activities, students will also be encouraged to think objectively, make observations, collect data through research, analyze information, and investigate problems to find their solution.

The program begins Saturday, January 4th 2020, and will end on Saturday, April 4th 2020.

The program will be held on Saturdays from 8:15 A.M. to 12:00 P.M. Breakfast will be provided.

All children will be ready for dismissal promptly at 12:00 P.M. in the upper playground of the school/and or gym.

AFTER COMPLETING THIS FORM, YOUR STUDENT IS AUTOMATICALLY ACCEPTED INTO THE PROGRAM.

For any questions, confirmations or concerns, please feel free to contact us on the "Remind App" @FESONE or you can email Coordinator Zakiyyah A. Cobb zcroseberry@twpunionschools.org.
Student Name: *
If you have more than one child, please complete a separate form for each child participating.
Your answer
*
Will your child be joining us for this Saturday Program?
For students who walk home:
Emergency Contact Information
Parent (or Legal Guardian) Name: *
Parent 1 (ex. Mother)
Your answer
Parent (or Legal Guardian) Cell Phone Number: *
Parent 1 (ex. Mother)
Your answer
Parent (or Legal Guardian) Name:
Parent 2 (ex. Father)
Your answer
Parent (or Legal Guardian) Cell Phone Number:
Parent 2 (ex. Father)
Your answer
Email Address:
Your answer
Home Address: *
Your answer
Home Phone Number: *
Your answer
#1 Emergency Contact Name & Relationship: *
The name & relationship of your emergency contact can be listed here. (ex. Jane Doe-Aunt)
Your answer
#1 Emergency Contact Number: *
Phone Number of Emergency Contact
Your answer
#2 Emergency Contact Name & Relationship:
Your answer
#2 Emergency Contact Number:
Your answer
Additional People to whom my child(ren) may be released:
Please enter Name, Relationship and Phone Number of additional people to whom your child may be released. You may list up to 2 additional people. (ex. Jane Doe-Aunt-1234567890, Jill Doe-Cousin-1234567890)
Your answer
AFTER COMPLETING THIS FORM, YOUR STUDENT IS AUTOMATICALLY ACCEPTED INTO THE PROGRAM.
Please hit the "SUBMIT" button, and we will see your child on Saturday, starting January 4, 2020.
Parent Signature *
Please sign, initial and date form before submitting. (Ex. John Doe J.D. 6/21/19)
Your answer
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