BOKS @ Zervas - Winter Session Enrollment
After a successful pilot of BOKS @ Zervas in the Fall we are pleased to expand BOKS to accommodate more students, and increase to two times per week. Since the Fall session was so popular we are going to use a lottery system to determine registration. Registration is open until January 19 at midnight. Confirmed registrants will be notified by January 26. BOKS @ Zervas Winter session will begin on February 2. Fees will be collected on the first day of BOKS.
Email address *
Participant / Student Name - Last *
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Participant / Student Name - First *
Your answer
Phone *
Your answer
Gender *
Date of Birth *
Your answer
Grade / Teacher *
Your answer
List known Allergies/Medical Conditions: *
Your answer
Does your child require the use of (check all that apply): *
Required
Does your child have one in his / her backpack? *
Can he / she use it without an adult? *
Parent / Guardian Name *
Your answer
Parent / Guardian Preferred Phone *
Your answer
Emergency Contact Name, Phone & Relationship (not parent) *
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Select days for enrollment (you can select one or both days). *
Required
Fee, please select one option (Please note, the fee covers the entire 10 week session making each class only $2.50 per class) *
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