CatCH Program Registration
Session 2 Offerings January 6th thru April 2nd
(Course offering descriptions were sent in a previous email and are also available at
and on Facebook at Catamount Community Hours Afterschool Program)
Name and Birth Date
Parent/Guardian Name and Phone Number
Emergency Contacts should Parent not be able to be reached- please complete if information has changed or not previously provided for prior sessions. (PLEASE INCLUDE: NAME, RELATIONSHIP TO CHILD, and PHONE NUMBERS)
Student allergies or other medical or special needs. Please Specify
How will your child get home after programming each day?
Parent/Caregiver Pick Up (5:00 pm)
Bus (If Bus, please select the appropriate bus stop below)
5:05 Green Street
5:05 Maple Street
5:08 Family Dollar
5:10 St. J Academy
5:10 School & Pleasant
5:12 ABC LOL
5:13 South Main to end
5:15 Caldonian Street to end
5:15 Mtn View & Rte 5
5:16 Elm & Harris
5:16 Stetson Terrace & Rte 5
5:17 Concord & Harris
5:18 Post Office St J Center
5:19 Concord Ave to Lincoln Street
5:20 Green Lantern Trailer Park
5:25 Mount Pleasant Trailer Park
5:30 Severance Hill
Please select the Monday course this student would like to attend. (see registration packet for course descriptions)
Please select the Tuesday course this student would like to attend.
Gaming Adventure League
Girls Who Code
Please select the Wednesday course this student would like to attend.
Please select the Thursday course this student would like to attend.
CatCH's Next Great Baker
I give permission for CatCH Program Staff to photograph/video my child during program activities or fundraisers. (Photos or videos will be displayed in our school, and may be used in flyers shared with the community, as well as in our school, local newspaper, and CatCH Facebook page)
Session 3 will begin in April. What other activities would you like to see offered?
I give permission to CatCH Program Staff to take my child off of school grounds to participate in after school field trips. (Parents/Caregivers will be notified prior to field trip dates)
Other Questions or Comments:
A copy of your responses will be emailed to the address you provided.
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This form was created inside of The St. Johnsbury School.