LEAP SPRING PROGRAMS
** FUZZY ANIMALS IS FULL! ** ** COMPUTER CODING IS FULL!** CARPENTRY IS FULL ** GARDEN CLUB OPEN TO GRADES K-5! Please complete the registration form below.

A separate registration is required for each child to participate in the Spring 2018 R.C. LaPerche LEAP program.

Please make sure you select an option for both Tuesday and Thursday – none is an option if you would like to sign-up for only one day.

Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Parent Name *
Your answer
Emergency contact number *
Your answer
Parent Email Address *
Your answer
Pick Up Person 1 *
Your answer
Pick Up Person 2
Your answer
Please select a Tuesday Class *
Please select a Thursday Class *
Would you like to Parent Volunteer *
If yes, which program (s)
Your answer
Payment Method *
Required
PayPal Address (please add $1.50/child if paying via PayPal)
I understand that I need to print and send in the required forms to office before March 9th. Found on: http://rclaperchepta.org/leap *
Required
Any questions, please email Hannah Caisse at hlcaisse@gmail.com.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms