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)
Email address *
Name and Birth Date *
Your answer
Teacher/Grade *
Your answer
Parent/Guardian Name and Phone Number *
Your answer
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) *
Your answer
Student allergies or other medical or special needs. Please Specify *
Your answer
How will your child get home after programming each day? *
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.
Please select the Wednesday course this student would like to attend.
Please select the Thursday course this student would like to attend.
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?
Your answer
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:
Your answer
A copy of your responses will be emailed to the address you provided.
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