Parkside After-school Interest & Drop- In Registration Form
Parkside is a fee-based after-school Tutoring/Enrichment Program available for students in grades K-6 enrolled at a Proviso Township School. It is sponsored by NextGen Church and held at the NextGen Resource Center. Each learning session offers a variety of classes in areas such as Math, Reading/ELA, STEM (science, technology, engineering, math), Music, Art and other special interests.

Fees for instruction and materials vary according to the subject matter and number of participants in a class.

We offer in-person (after-school club 3-6PM), remote learning services, and private tutoring. Transportation is also offered.

Enrollment is limited and is on a first-come, first-served basis. Announcements and class descriptions will be provided prior to each session.

Visit ngconline.org/parksideafterschool for more information.
Sign in to Google to save your progress. Learn more
Email *
I am interested in (check all that applies): Estoy interesado en (marque todo lo que corresponda): *
Required
Do you live in the Proviso Township area? ¿Vives en el área del municipio de Proviso?
Parent(s)/Guardian(s) Name:(Nombre del padre (s) / tutor (es)): *

Student(s) name (El nombre del estudiante):
*
*Only one registration form per family needs to be submitted
What school does your student/students attend? ¿A qué escuela asiste su estudiante / estudiantes? *
For in-person after-school program—Will you need transportation?  Para el programa extracurricular en persona: ¿necesitará transporte? *
From Center to school. From School to Center.
Required
What grade is your student in? ¿En qué grado está su estudiante? *
Cell Phone Number (Número Celular); *
Do you qualify for Illinois Action for Children Child Care Assistance?

*
Would you like to receive more information about future programs? (¿Le gustaría recibir más información sobre programas futuros?) *
Click link below if you’d like to make a donation. Thank you!  https://www.paypal.com/donate/?hosted_button_id=WLDHGDUM3Q9HA
Do you have a church home? *
Visit ngconline.org to see what our ministry and church mission is all about.
Required
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy