JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Monart Wednesdays at Village: Session 2
THEME: "FOREST FRIENDS"
Cost: $207.00
(for 9 weeks - all materials included)
Dates: Wednesdays, Nov.
6, 13, 20,
Dec.
4, 11, 18,
Jan.
8, 15, 22
Grade/Time:
Grades 1-5 / 1:40pm - 2:40pm
Location:
Village Elementary - VAPA Room 604
* Indicates required question
Email
*
Your email
Enrichment Session
*
Select an enrichment session
Choose
Session 2: Wednesdays • Nov 6 - Jan 22 • 9 Weeks • $207
Late Registration • Pro-Rated for Classes Remaining
Student Name
*
Enter first and last name of student
Your answer
Grade
*
Select grade of student
Choose
1st
2nd
3rd
4th
5th
Parent Name
*
Enter first and last name of parent or guardian
Your answer
Phone 1
*
Enter a valid 10-digit primary phone number
Your answer
Phone 2
*
Enter a valid 10-digit secondary phone number
Your answer
After Class...
*
Select where your student will go after the Monart class?
Choose
Picked-Up
Walk Home
Aftercare
Authorized Pick-Up
*
Enter the first and last name of persons authorized to pick-up student
Your answer
Comments
Please list any special accommodations or considerations
Your answer
Credit Card #
Enter a valid 15 or 16-digit credit card number
Your answer
Expiration
Enter a valid
mm/yy
card expiration date
Your answer
CVC
Enter a valid 3 or 4-digit card verification code
Your answer
Zipcode
Enter a valid 5-digit card billing zipcode
Your answer
PLEASE REVIEW THESE IMPORTANT NOTES BEFORE SUBMITTING FORM:
•
PLEASE BE SURE TO
MARK THE DATES
ON YOUR CALENDAR FOR YOUR REFERENCE!
• A
REMINDER EMAIL
WILL BE SENT
PRIOR TO START OF CLASS
REGARDING ROOM LOCATION & PICK-UP PROCEDURES.
• YOUR CARD PAYMENT WILL BE
PROCESSED ON THE FIRST DAY OF CLASS
.
•
NO REFUNDS
WILL BE GRANTED
AFTER THE FIRST WEEK
OF CLASS.
• IF REGISTERING THE
DAY OF CLASS
, PLEASE CALL TO
CONFIRM AVAILABILITY
!
• IF YOU HAVE
TROUBLE REGISTERING
, PLEASE
CALL OUR OFFICE: 619-222-DRAW
.
Village Elementary Flyer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms