Boston Community Collaborative Classes Starting September 2018
For school aged kids
Email address *
Student Name (first and last please) *
Your answer
School Name *
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Grade *
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Teacher's name *
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Class
You can check multiple boxes
MONDAY Drama at the Eliot (for grades 3 and up - student does not have to be an Eliot student)
WEDNESDAY Fitness at SJS (for SJS students, K3, K4, and K5 at 2:30, Grades 1 and up at 3:30)
THURSDAY Drama at SJS (for SJS students, K3, K4, and K5 at 2:30, Grades 1 and up at 3:30)
FRIDAY Dance at SJS (for SJS students, K3, K4, and K5 at 2:30, Grades 1 and up at 3:30)
If SJS - Is your child in the afterschool program?
Parent Cell Phone *
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Emergency Contact Name (please provide one other than yourself) *
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Emergency Contact Number *
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Your Email address(es) *
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Any concerns? (if none, please write "none") *
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Will you pay by cash, check, or card? *
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