TAG Registration Form (4th and 5th Grade)
Tuesdays from Immediately after school - 5:00pm. 2017-2018 Program Year.
If possible we do accept donations between $10-$20 to help offset costs.
(Last, First Middle
Elementary School your child attends
(For possible carpooling)
Grade your child will be in during 18-19 school year
Child's Date of Birth
Mother's Phone # (please provide cell # and any other # where you could be reached)
Father's Address (if different from above)
Father's Email Address
(Please give a cell number if that is where you can be reached)
Are there concerns of which we should be aware?
Adult Volunteer Opportunities
I am available and willing to transport kids to the church from their school.
I am available to be a weekly helper.
I am available to be an occasional helper.
I cannot be there on Tuesdays, yet would be willing to help plan outings and activities.
I can drive to any outings or activities off-site.
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This form was created inside of Holmen Lutheran Church.
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