APRIL ENRICHMENT ACADEMY 2018
We will offer several diverse opportunities for April (vacation week 4/17 - 4/20). These opportunities include FOUR HALF- DAY SESSION OPTIONS for $180.00 per session. A MORNING (9:00 - 12:00) and/or an AFTERNOON (12:30 - 3:30). We also will offer a four-day one hour Archery Session from 12:30 - 1:30. Participants are welcome to bring a bag lunch and stay from 12:00 - 12:30 if they are participating in both sessions. We offer a special price of $340.00 for those students participating in two half-day sessions, save $20.00! ALL sessions will be at the Mary Rowlandson Elementary School in Lancaster. All registrations require a $35.00 NON-REFUNDABLE deposit to secure session placement(s) which will be applied to their bill.
Email address *
Parent Last Name *
Your answer
Parent First Name *
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Student Grade Level *
Student School *
Does your child have a non-life threatening allergy? *
If no please write NA. If yes, please explain below:
Your answer
Does your child have a life threatening allergy? *
If no please write NA. If yes, please explain below:
Your answer
Please check below that you are aware that there will not be a nurse on duty during any of our vacation academies. If an incident should occur that requires medical attention 911will be called immediately followed by a call to the child's parent. *
Does your child require an EPI PEN? If yes, one must be provided in the box with the doctor's orders visible and clearly labeled with your child's name for the staff. *
Does your student have any special considerations (emotional or physical) that our staff should be aware of, if no please write NA. If yes please describe below:
Your answer
Please check the session or sessions your student will be participating in for this Academy week. *
Required
My child has my permission to be photographed. I understand his/her photo MAY be used as part of our school Twitter or Website and MAY also be featured in one of our local newspapers. *
Are you signing this waiver for a minor that you are the legal guardian for? *
If no please write NA. If yes, to the above question please write the minor's full name below:
Your answer
I have read and agree to the terms in the form above. By checking this box, I am signing this form electronically. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Nashoba Regional School District. Report Abuse - Terms of Service