Winter 2018 SJS Enrichment registration
Event Timing: January 29th-May 30th, 2016
Event Address: St. Joseph School, 39 Gebhardt Road
Contact us at
Please fill out only one child per form, but you may sign up for multiple classes on one form.
Name of child
Name of child's teacher
Grade of child
Name of parent/guardian/contact
Alternate email address
Classes to register for:
Martial arts - grades K - 6. 2:15 - 2:45 Thur. $99/student. Checks to Martial Arts of America.
Fencing - grades 2 - 6. 2:15 - 3:15 Fri. $90/student. Checks to Rochester Fencing Club.
Lego League Jr - grades K - 3 Dates TBA. $50/student. Checks to St. Joseph School.
How does your child get home typically on the day of the class? (Parents must send a note each day of class.)
Pick Up (Parents must pick up child at the end of the class, or child will be sent to ASC and families will be billed for the hour they are there.)
Does your child have allergies? (Sometimes classes involve food - we want to make sure your child remains safe.)
I request my student be enrolled in this(these) Enrichment Club(s). I understand these sessions are conducted by independent contractors. I understand the school’s insurance policy is still in effect for the duration of this activity. I hereby give my consent to have a first aid responder, EMT, nurse and or doctor provide my student with medical assistance and treatment. I understand I am responsible to pick up my student at the end time indicated above. If I fail to do so I understand that my student may be taken to the After School Care Program and I acknowledge I will be responsible for any and all associated fees related to my student’s attendance in this program.
I am at the full understanding that participation in an after school activity may come with some risks. Sports, cooking, artwork, etc. have certain risk factors. By selecting yes, I assume risk of harm or injury which may occur to the participant as a result of participating in ANY of the St. Joseph’s Enrichment clubs, events or activities. I hereby release St. Joseph’s School, Church and its officers, employees, or agents from any liability, costs and damages resulting this individual's participation. I agree that the minor has my consent to participate in the event or activity. I also give my consent for St. Joseph’s School to seek emergency treatment for the minor if necessary, and I agree to accept financial responsibility for the costs related to this emergency treatment.
I understand that I will have to send a check payable to St. Joseph School or the vendor listed for my registration to be finalized. I should send the check in an envelope marked enrichment. I understand that to apply for financial aid for this activity, I should contact the school principal.
I understand that I need to pay a $20 registration fee to St. Joseph School once per school year per family to register for enrichment:
A copy of your responses will be emailed to the address you provided.
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