Wednesday Enrichment Club Proposal Form
Quarter 4: (6 sessions) April 17, 24 and May 1, 8, 15, 22
Club Title: *
Your answer
Club Leader Name *
Cancelling a club is impossible, as both parents and the school are relying on the club for child-care. Therefore, club leaders are responsible for having a substitute, who has passed a background check, in case the leader is absent. It is suggested to work in a pair.
Your answer
Leader Email *
To enter multiple emails, use comma to separate
Your answer
Leader Phone Number *
Your answer
Co-Leader/Back Up Name *
Your answer
Co-Leader/Back Up Phone *
Your answer
Targeted age group: *
(by grade level)
Required
Minimum number of students for club to run: *
Your answer
Maximum number of students: *
Your answer
Club fee: *
(per student, for all session--see club webpage to learn about how many sessions each quarter
Your answer
Would you be willing to off a scholarship to attend your club? *
Type yes (and list how many spots) or type no
Your answer
Club hour(s) offered: *
Clubs may be offered for one or two hours. Clubs may repeat with new students the second session.
Required
Engaging Club Description (to entice students to enroll): *
Your answer
Will this club need to have students access computers? *
Materials required from the school: *
Your answer
Space required other than a classroom: *
(Clubs will be conducted in a classroom unless otherwise requested below)
Your answer
How Will Parents Pay For Your Club? *
Notes
Your answer
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