Hillcrest Kids Clubs Spring '19 Selection Form
This form is for choosing your child's Kids Club(s). Please complete a separate form for each child. Please review the club descriptions on the flyer for the grades and dates for each club to ensure you are selecting clubs that are appropriate for your child. In order to allow as many children as possible to participate, we will try to give every child their 1st choice before we give any child a 2nd choice. Most of the clubs have space limitations; we will maintain a waiting list for clubs that fill up. We regret that some children may not get a spot in a club. The registration period ends on Wednesday, January 16.

In order to ensure our children’s safety after school, we need parents to act as chaperones for HKC. Priority registration and tuition discount will be given to parents who are assigned to this role. Please indicate interest on this form.

Tuition assistance is available for all clubs through the PTA. You may request a scholarship once you are offered a spot in a club. We are only able to provide a scholarship for one club per child.

Bus service to your child's home address will be available for Tuesday and Thursday clubs for a fee of $20 for the entire club session. We regret that we cannot provide bus service for Environmental Club.

Please do not send in payment until your child has been offered a spot in a club. You will be notified via email when the club rosters are set. Participation details and payment information will be included on the Acceptance form.

Please contact hkchillcrest@gmail.com if you have any questions. Thank you for supporting Kids Clubs!

Student Information
Student Name *
First name first, last name last. (Example: John Doe)
Your answer
Grade *
Homeroom Teacher *
Last name only. Please do not enter Mr or Mrs./Ms. before name.
Your answer
Parent Name *
First and Last name
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
Club Selection
Please mark "Not Interested" for any club that is not applicable to your child or that you're not interested in.

Mark "1st Choice" for your most preferred club.
Mark "2nd Choice" for your secondary preference.
Mark "3rd Choice" for your alternative preference.

If you're interested in signing up for more than one club, please indicate in the next section. We will do our best to choose from your options to provide the most preferred clubs.

Spring 2019 Clubs:

Monday:
--- Creative Writing (Mondays, grades 4-5)

Tuesday:
--- Yoga (Tuesdays, grades 2-5)
--- Silver Knights’ Chess (Tuesdays, grades 1-5)

Thursday:
--- Abrakadoodle (Thursdays, grades 1-5)
--- Musical Theater (Thursdays, grades 3-5)
--- SciKidz--Little Lego Engineers (Thursdays, grades 1-2)
--- SciKidz--Robot Adventures (Thursdays, grades 3-5)
--- Environmental (Thursdays, grades 1-5)

Friday:
--- Silver Knights’ Coding, Morning (Fridays, grades 2-5)
--- Silver Knights’ Coding, Afternoon (Fridays, grades 2-5)
--- Drama 1-2 (Fridays, grades 1-2)
--- Drama 3-5 (Fridays, grades 3-5)

Clubs *
Not Interested
1st Choice
2nd Choice
3rd Choice
Creative Writing
Yoga
Chess
Abrakadoodle
Musical Theater
SciKidz 1-2
SciKidz 3-5
Environmental
Coding AM
Coding PM
Drama 1-2
Drama 3-5
Multiple Clubs *
If possible, I would like my child to be enrolled in more than one of these above clubs. We will dual enroll your child if there is room.
Chaperone Availability
HKC needs at least one parent chaperone for each club who is available to be at school from 3:30 until 5 when the club meets. Please indicate below which day(s) you can be available to chaperone (you will not be asked to chaperone on a day your child does not have club.) As a thank you, your child will receive a tuition discount and priority registration.
Chaperone Days *
Required
Expectations and Policies
Signature *
Please type your full name in the signature block to indicate that you will read and agree to the policies and procedures outlined in the acceptance agreement. Link: https://goo.gl/JGjg5j
Your answer
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