CatCH Program Registration
Session 1 Offerings September 9- December 19
(Course offering descriptions were sent in a previous email and are also available at
and on Facebook at Catamount Community Hours Afterschool Program)
NAME and Birthdate
Parent/Guardian Name and Phone Number
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) Fr
Student allergies or other medical or special needs. Please Specify
What will this student's dismissal plans look like each day they attend the program?
Parent Pick Up
Bus (select bus stop below)
5:03 Green Street
5:10 Family Dollar
5:13 Bay & South Main
5:16 Caledonia & Portland
5:20 Riley's Fish Shack
5:24 Concord & Harris
5:27 School St & Pleasant St
5:29 ABS & LOL
5:31 Mt View Drive & Memorial Ave
5:33 Post Office - St J Center
5:39 Mt Pleasant Trailer Park
Please select the Monday course this student would like to attend. (see registration packet for course descriptions)
Aevidum with Mrs.Maney
DIY Vloggers with Ms. C
Stop motion Animation with Catamount Arts
NXT Robotics with Colleen Lariviere
Homework Club/ Math Tutoring with Mr. McLean, Ms. Garcia and Ms. Farina (If you think you might attend Homework Club at any point during the session please select this option)
Please select the Tuesday course this student would like to attend.
Youth Prevention Council with Mrs. Maney
Ultimate Frisbee with Lon Davis (This course is offered both Tuesdays and Thursday. It is preferrable if students sign up for both days of the week)
Please select the Wednesday course this student would like to attend.
Aeronautics with Colleen Lariviere
TECHsploration with Mr. McLean
How to: Create your own Graphic Novels with Mr. Kincaid
Become a Fiction Writer with Catamount Arts
Homework Club and Literacy Tutoring
Please select the Thursday course this student would like to attend.
Ultimate Frisbee (It is preferrable for students to sign up for both Tuesdays and Thursdays of Ultimate Frisbee)
Handbuilding with Clay with Mr. Jewell
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)
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)
Comments or questions....
A copy of your responses will be emailed to the address you provided.
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