2018-2019 Extended Learning Waitlist
Please fill out the attached form to be considered for the 2018-2019 Extended Learning program, based on program openings by location. Please note that not all students on the waitlist will get a spot in the program. If you are granted a spot in the program, I will contact you and you will see a $35.00 registration fee on MySchoolBucks.com
Please contact lbotko@nrsd.net if you have any questions.
Email address *
Student First name *
Your answer
Student Last name *
Your answer
Student grade *
Site location *
AM days requested (7:25 am - school start time) *
Required
PM days requested (school end - 6:00 pm) *
Required
Comments for clarification?
Your answer
A copy of your responses will be emailed to the address you provided.
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