Fall 2019 Upper Campus Club Interest Form
Please fill out this form if your child would like to participate in a club, indicating your child's 1st, 2nd, and 3rd choice. Our goal is for every child interested to be able to participate in one club. If space allows, your child may be invited to participate in a second club.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Current Grade Level *
1st Choice Club Selection - This form indicates your interest in a club. You will receive an email if your child is added to the club roster. Every club has a maximum enrollment. *
2nd Choice Club Selection - This form indicates your interest in a club. You will receive an email if your child is added to the club roster. Every club has a maximum enrollment. *
3rd Choice Club Selection - This form indicates your interest in a club. You will receive an email if your child is added to the club roster. Every club has a maximum enrollment. *
My child would like to attend more than one club if possible.
What will your child do after club dismissal? *
By checking the box below, I have read and understand the ICSAtlanta Club Information document (posted at www.icsatlanta.org/clubs). *
Required
By checking the box below, I understand and agree that no refunds will be given after September 20 for any reason. *
Required
By checking the box below, I understand and agree that if my child has any behavior incident during club time (as determined by the club teacher), he or she will no longer be able to attend the club (and if after September 20, no refund will be given). *
Required
By checking the box below, I understand that if my child is picked up late from club more than one time, he or she will no longer be able to attend the club (and if after September 20, no refund will be given). *
Required
A copy of your responses will be emailed to the address you provided.
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