Pacific Ridge After School Program Registration
* Required
Please make your check payable to Pacific Ridge School and bring it with you to the first session. Please contact Steven Dziekonski with any questions or concerns at
sdziekonski@pacificridge.org
or 760-448-9822.
Student's first name
*
Your answer
Student's last name
*
Your answer
Student's grade as of fall 2018
*
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Parent or guardian's first name (primary contact)
*
Your answer
Parent/Guardian last name
*
Your answer
Parent/Guardian email address
*
Your answer
Parent/Guardian phone number
*
Your answer
In which classes or lessons are you enrolling?
*
Riptide Vocal Ensemble ($240 for the 12-week fall session)
Voice lessons ($40 per forty-five-minute lesson, day and time to be arranged with instructor)
Piano lessons ($40 per thirty-minute lesson, day and time to be arranged with instructor)
Performance coaching ($40 per forty-five-minute lesson, day and time to be arranged with instructor)
Guitar lessons ($35 per thirty-five-minute lesson, day and time to be arranged with instructor)
Fueling Mammals ($100 for the 4-week session: Tuesdays, Sept 4th- Sept 25th)
Life of Plants ($100 for the 4-week session: Tuesdays, October 2nd – October 23rd)
Powering Your World ($100 for the 4-week session: Tuesdays, November 6th – December 4th (excluding Nov 20th Thanksgiving week )
Underwater Robotics (no fee; open only to Pacific Ridge middle school students; 3:00 pm - 5:00 pm, Wednesdays after school)
7th-Grade Play (no fee; open only to Pacific Ridge 7th-grade students; 3:30 pm - 5:00 pm, Tuesdays, Wednesdays, and Thursdays after school from Sept. 11-Oct. 25.)
Required
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