SMCS Program of After School Enrichment (PASE) Acknowledgement, Registration and/or Change Form
This form is used to acknowledge, register and/or change elections for our Program of After School Enrichment. It also serves as a change request form for existing participants. This form will help ensure enrollment of your students in the appropriate classes or let us know you would like to "Opt-out" at this time.

Completing this form acknowledges that you understand and agree to the current SMCS Program of After School Enrichment Program Guide. You may begin by entering an email address for the person completing this form and proceeding through the applicable questions. Some classes have caps and they will be filled on first come first served basis.

The current Program of After School Enrichment (PASE) Guide policies and procedures, to review and understand, are available here: https://goo.gl/AJ5pVg

After school activity considerations:

1) Monday and Wednesdays Girls Practice: 4:00 - 5:30
2) Tuesday: Canter Practice: Grades 5-8: 3:30 - 4:15
(Those participating will continue to attend cooking!-)
3) Tuesday and Thursday Boy's Practice: 4:00 - 5:30
4) Thursday: Grand Vocal Choir Grades 2 - 8: 3:45 - 4:45
(Piano will transition to 4:45 - 5:45)
5) Friday: Beginner Bell: 4:00 - 4:45
6) Friday: Advanced Bell: 5:00 - 5:45

Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
What is your students grade for the 2018-19 school year? *
Why are you completing this form? *
When will this PASE enrollment, change, discontinuation or decline take effect? (If you are opting out of PASE, please enter today's date.) *
MM
/
DD
/
YYYY
How many days per week will your student attend PASE? *
If this is a withdrawal, please provide feedback for administration review.
Your answer
PK3-K Grade Options
Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a PK3 through Kindergarten student, select the following elections. You may skip the 1-4 and 5-8th grade options.
Grades PK3-Kinder Monday options:
Grades PK3-Kinder Tuesday options:
Grades PK3-Kinder Wednesday options:
Grades PK3-Kinder Thursday options:
Grades PK3-Kinder Grade Friday options:
1st-4th Grade Options
Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a PK4 through 4th grade student, select the following elections. You may skip the 5-8th grade options.
Grades 1st-4th Grade Monday options:
Grades 1st-4th Grade Tuesday options:
Grades 1st-4th Grade Wednesday options:
Grades 1st-4th Grade Thursday options:
Grades 1st-4th Grade Friday options:
5-8th Grade Options
Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a 5th through 8th grade student, select the following elections. You may skip the above PK3-4th grade options.
Grades 5-8th Grade Monday options:
Grades 5-8th Grade Tuesday options:
Grades 5-8th Grade Wednesday options:
Grades 5-8th Grade Thursday options:
Grades 5-8th Grade Friday options:
I understand the 2018-19 St. Mary's Catholic School's Program of After School Enrichment Guide and agree to follow the policies and procedures therein. (Enter the name of the person completing this form below.) *
Your answer
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