MJHS Homework Club
Students are expected to participate on a quarterly basis, and attendance at each scheduled session is not only encouraged, but expected. Parents/Guardians wishing to have their child participate must either return a permission slip or fill out this on-line form.

Homework Club meets every Tuesday from 2:45 - 3:45. Participating students are required to attend for the full hour, and they will not be dismissed early. Transportation will NOT be provided as part of the program.

Failure to attend Homework Club will result in parent contact and potential removal from Homework Club.

Email address *
Today's Date *
Student First Name *
Your answer
Student Last Name *
Your answer
Parent/Guardian Name (First & Last) *
Your answer
Parent/Guardian Contact Number *
Your answer
Emergency Contact Name (First and Last) *
Your answer
Emergency Contact Phone Number *
Your answer
Will this student be a Car Rider or Walker? *
Transportation will not be provided. Students will not be allowed to walk home without previous authorization from a parent/guardian.
Additional Notes (Please list any information you would like the HW Club Supervisor to know.
Your answer
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