Curiosity Club Student Information
Thank you for signing your child(ren) to STEMful after-school club, the Curiosity Club. Please take a moment to fill out the information below that is crucial for us as we work with the car share service and the school to make arrangements to pick up your child(ren) from school.
Email address *
Caregiver Info: First and Last Name *
Your answer
Caregiver Info: Phone Number(s) *
Your answer
Emergency Contact and Phone Number *
Your answer
Drop-off Caregiver Contact and Phone Number (only if you are making your own drop-off arrangements)
Your answer
Child's Info: First and Last Name *
Your answer
Child's Grade Level *
Your answer
Child's School *
Your answer
Teacher's Name and Room Number
Your answer
Child's Info (sibling): First and Last Name
Your answer
Sibling's Grade Level
Your answer
Teacher's Name and Room Number (sibling)
Your answer
List the day(s) your child(ren) will be in the Curiosity Club. *
Your answer
What time is school dismissal? *
Your answer
List the day and time of early release. Note: Some schools may not have early release. Please enter "same". *
Your answer
Does your child need a booster seat? *
Please list weight and height. *
Your answer
Start Date for the Curiosity Club *
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A copy of your responses will be emailed to the address you provided.
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