PTA After-School Club Request Form
Email *
Please use this form to request an after-school club for your child. Be aware that space in some clubs is limited and enrollment is on a first come / first served basis. Fill out a separate form for each child. These after-school clubs are paid for by your PTA from funds we raise. We kindly request that all families pay a $25.00 registration fee. This onetime payment covers any and all clubs. Some clubs like instrumental music may have an additional cost for equipment such as mouthpieces and/or music book. PROGRAMS OPEN TO ALL GRADES AND ALL LEVELS OF ABILITY. We reserve the right to modify our club schedule with ample notice, if necessary. All students must adhere to Dock Street School and NYC Department of Education rules governing bahavior.
Parent/Guardian Name *
Parent/Guardian Phone Number *
Child's First Name *
Child's Last Name *
Child's Class *
These clubs are available on Mondays.
Monday, Session 1 (Start Date: Nov 4): 2:30pm - 4:00pm (Choose one)
Clear selection
These clubs are available on Tuesdays.
**Tuesday Math Team/Club Cancelled**
This club has been cancelled because our instructor had to withdraw. Sorry for the inconvenience. Please choose another club. We will update you if this status changes.
These clubs are available on Wednesdays.
Wednesday, Session 1 (Start Date: Nov 6): 2:30pm - 4:00pm (Choose one)
Clear selection
These clubs are available on Thursdays.
Thursday, Session 1 (Start Date: Nov 7): 2:30pm - 4:00pm (Choose one)
Clear selection
Thursday, Session 2 (Start Date: Nov 7): 4:00pm - 5:30pm (Choose one)
Clear selection
Friday clubs are filled. We hope to introduce more in the future.
A copy of your responses will be emailed to the address you provided.
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