2019 Fall Quarter Registration
All sections of this Registration Form must be filled out to reserve your spot in classes. If a class is full and you are registering for the wait list, a spot in the class cannot be guaranteed to open up, you will be contacted if a spot opens. Walk-ins will not be able to participate in the classes. If you need further assistance please contact Nikkie (
nikkiec@mynorthshore.org
or 425-488-4821)
* Required
Email address
*
Your email
Name of Participant
*
Your answer
Monday Day Camp Classes (Selecting Day Camp automatically includes the lower two class options)
Day Camp / 10:00 - 3:00 / 8 min - 15 max
Open Recreation / 11:00 - 12:00
Baking / 1:00 - 2:30
Monday Class Options
Glee / 3:15 - 4:15 / 10 max
Exercise / 4:15 - 5:15 / 15 max
Dance / 5:30 - 6:15 / 15 max
Tuesday Community Outings - 12 people Maximum (4th Thursday / 12:30 - 3:30 / 4 ACCESS Qualified people minimum)
Yes, and I am ACCESS Qualified
Yes, and I am Not ACCESS Qualified
Tuesday Bowling (By selecting Recreation Bowling you will NOT be registered for the Special Olympics Tournament)
Recreation Bowling / 4:00 - 5:30
Special Olympics Bowling / 4:00 - 5:30
Wednesday Day Camp Classes (Selecting Day Camp automatically includes the lower two class options)
Day Camp / 10:00 - 3:00 / 8 min - 15 max
Sign Language / 11:00 - 12:00
Yoga / 1:00 - 2:00
Team Games / 2:00 - 3:00
Wednesday Class Options
Tennis *Off Site* / 2:00 - 3:00
Glee Club / 3:10 - 4:10 / 8 min - 15 max
Drama / 4:15 - 5:15
Martial Arts / 5:30 - 6:30
Wednesday Basketball
Practices Only (You will NOT be registered for SOWA tournaments) / 4:00
Practices AND Games / 4:00 or 5:00 depending on team
Friday Day Camp Class Options (Selecting Day Camp automatically includes the lower three class options)
Day Camp / 10:00 - 3:00 / 8 min - 15 max
Royalty 101 / 11:00 - 12:00
Art / 1:00 - 2:00
Zumba / 2:00 - 3:00
Friday Socials
PJ Party (9/20) / 5:00 - 7:00 PM / 6 min
Halloween BINGO (10/18) / 5:00 - 7:00 PM / 6 min
Holiday Decorating (11/22) / 5:00 - 7:00 PM / 6 min
Northshore to the Zoo (only 35 tickets available)
2 Tickets Please!
I am interested in more tickets if possible
Comments
Your answer
Payment Method
*
DDA
Monthly Private Pay
Pay in Full Private Pay
Combination DDA/Private (contact Nikkie to outline how payment will be split)
A copy of your responses will be emailed to the address you provided.
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