Homework Club Application
Homework Club is a free club which was established by FODAC and is open to all Dana Middle School students. Homework Club meets in the 5th Grade Lunch Court on Mondays, Tuesdays, and Wednesdays from 2:55 p.m. until 3:55 p.m and then will transition to the library. The first day will be on Monday, September 8, 2025. Homework Club is intended to provide an adult-supervised, comfortable study environment and homework support on a drop-in basis.  Students that attend Homework Club are expected to stay until 3:55 p.m. No in and out privileges.

Parents will review with student and explain all of the Homework Club Rules.  Parent and student will comply with all of the rules and understand that the rules are subject to change at any time. Student may be prohibited from participating in Homework Club if any rule is violated including, but not limited to, any rule pertaining to sign-in, sign-out, and timely pick-up at 3:55 p.m.

Please do not complete this form if your child is in PrimeTime. They already receive tutoring through PrimeTime. 
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What is your student's first name? *
What is your student's last name? *
What grade is your student in this year?  *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Parent/Guardian's Email *
Parent/Guardian's Cell Phone Number *
Emergency Contact's Name *
Emergency Contact's Cell Phone Number *
Emergency Contact's Relationship to Student *
I have read and understand the Homework Club rules and policies listed above with my child and we agree to abide by these rules and policies. *
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