October 2016 Registration Form

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First Name: *

Last Name: *

Phone Number: *

CHILDCARE *

Will you be using our Childcare Services?

Yes - include their ages in "Other"

Other:

WORKSHOPS/CLASSES *

Making Global Connections: October 1,15 & 29 @9:30am- 12pm Van Duyn School 401 Loomis Ave

Adult Education High School Equivalency Classes (GED) October 4,6,11,13,18,20,25 & 27 @ 4:30 - 7:30 pm Beauchamp Library - 2111 S. Salina St 13205

Alphabet Soup: Parents Supporting Parents @ Dr. King: October 4 & 18@ 9-10 am 416 Raynor Ave

My Child Got a 1,2,3,4. What does that mean ? October 5 @ 8am Grant, 24oo Grant Blvd

My Child Got a 1,2,3,4. What does that mean? October 5 @ 12:45pm Clary, 100 Amidon Dr.

Protecting Your Baby from Secondhand Smoke:October 5 @ 6 pm Salvation Army 749 S.Warren St.

School-Based Health Systems: October 6 @ 5:30-7 pm Franklin School 428 S. Alvord St

My Child Got a 1,2,3,4. What does that mean? October 12 @ 8 am Meachem , 171 Spaulding Ave.

My Child Got a 1,2,3,4. What does that mean? October 12 @ 9am Dr. King, 416 E.Raynor Ave

My Child Got a 1,2,3,4. What does that mean? October 12 @ 1:45 pm Ed Smith, Lancaster & Broad

Parents' Rights & Responsibilities within the Special Education System: October 13 @ 12-1pm PDC 1005 West Fayette St. 1st Fl

Attendance, Every Kid+Every Day= Student Achievement: October 18 @ 12-1 Delaware Academy 900 S.Geddes St.

My Child Got a 1,2,3,4. What does that mean? October 19 @ 7:45 am HW Smith, 1130 Salt Springs Rd

My Child Got a 1,2,3,4 What does that mean? October 19 @8:45 Hughes/Latin. 345 Jamesville Ave

My Child Got a 1,2,3,4. What does that mean? October 19 @12pm Huntington, 400 Sunnycrest Rd

Family Budgeting: October 20 @ 6-8pm ITC 258 E.Adams St.

Family Paint Knight October 24 @ 6:30-8:30 pm Henninger, 600 Robinson St

Parents of Students with Autism/ASD October 25@ 11-12:30pm HW Smith

Parent Book Club Common Sense Parenting October 25 @ 5:30pm Van Duyn School 401 Loomis Ave, 13207

Parent Book Club The 5 Love Languages of Children October 26 @ 9:15 am Hughes/Syracuse Latin School 345 Jamesville Ave.,13210

Other:

Required

Transportation *

Please indicate if you need a bus voucher to attend selected workshops

YES (must register at least ONE week in advance to receive voucher by mail)

Zip Code *

13202

13203

13204

13205

13206

13207

13208

13210

13214

13215

13224

Other:

Gender *

Female

Male

Relationship *

Please indicate your relationship to SCSD children.

Parent or Legal Guardian

Grandparent

Other Relative

Other:

Special Accommodations/notes

School(s) *

Please indicate EVERY school that you have a child attending

Bellevue Elementary

Clary

Corcoran High School

Danforth

Delaware Academy

Delaware Primary

Dr. King

Dr. Weeks

Ed Smith

Elmcrest

ELMS (Expeditionary Learning)

Fowler High School

Franklin

Frazer

Grant

Henninger High School

Hughes

Huntington

HW Smith

ITC (Institute of Technology)

Johnson Center

Lemoyne

Lincoln

McCarthy at Beard

McKinley-Brighton

Meachem

Montessori @ Lemoyne

Nottingham High School

Porter

Pre-K

PSLA

Roberts

Salem Hyde

Seymour

Syracuse Latin

Van Duyn

Webster

Westside Academy at Blodgett

Required

NON-SCSD School

Please indicate if your child(ren) attend a school other than SCSD

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