LBCRS HW HELP ENROLLMENT FORM
Please complete the questions on this form to register your child/children for our HW Help Club. Each child needs to have their own enrollment form. There is a YEARLY, ONE TIME Registration Fee of $20 per family that can be sent into school with your child c/o Mrs. Isola 5-2.
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Child's Grade/Teacher Name
Parent Name/Email/Phone Number
Emergency Contact/Phone Number
I understand that there is a one time Family Registration Fee ($20) that must be paid in order for my child(ren) to attend.
Yes, I understand
I understand that HW Help Club is a service provided to my child to help assist them with homework tasks and is not private tutoring. I also understand that payment is expected the Monday each week my child(ren) attends. Late payments may lead to not being able to participate in the program.
Yes, I understand.
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This form was created inside of Diocese of Rockville Centre.