Stevenson After School Learning Academy Registration Session 2
Greetings! Thank you for registering your child(ren) for our after school classes with Fridley Public Schools. We look forward to a great year with your child.

Please refer to the informational flyer that was sent home with your child for class descriptions and other important program information. If you need another copy, they can be found on the Pearchjar Flyers section on the Stevenson Elementary School's web page or in the school office.

After school classes will be at Stevenson Elementary for elementary-aged student, grades 1-4. Regular attendance is an expectation of our after school programs .Participation in Learning Academy is a privilege. It is an opportunity to improve personally, academically, and socially. This privilege can be revoked if students engage in inappropriate behavior.

Important Information:
After school classes are free
Snack will be served to all students who attend. The second session of Learning Academy will have a new snack program. “Super” snack will have five items for students to choose from including a protein, grain, vegetable, fruit, and milk. Students must take three of the five items. This expanded program will provide more food for students who may eat lunch as early as 11am and not eat dinner until much later. Like the previous snack program, the snacks will be offered at no-charge to students
Classes will run January 28 to May 2

**Registration Deadline is Tuesday, January 22 at  9:00 am deadline

Enrollment confirmations will be emailed by Friday, January 25

Questions?
Contact Karin Beckstrand at 763-502-5117
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1. Student First Name *
2. Student Last Name *
3. Parent/Guardian name completing this form *
4. Parent/Guardian daytime phone number *
5. Parent/Guardian Email (you will be notified of transportation by email) *
6. Your student's grade during the 2018-2019 school year *
Your child's classroom teacher for 2018-2019 *
7. School of Attendance for 2018-2019 *
Required
8. Which after school class would you like to register for? *
You may only register for more than one class provided they do NOT overlap on days they are being held. If you were invited to a targeted teacher class, please select that option from the menu and we will ensure you student is enrolled in that class.
11. How will the student be transported home from summer school? *
12. **Alternative address or home daycare address
13. Name and phone number of other adult authorized to pick up and/or contact *
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