2019-20 SMCS Program of After School Enrichment (PASE) Acknowledgement, Registration and/or Change Form
This form has been revised to accommodate 2nd Semester changes. We are extending several options this semester to also include and enhance PSIA mentoring for grades 1st through 8th!

Our objective is to exercise the mind and body of students, therefore, we are exploring "multiple" sessions throughout our PASE schedule. See the options that follow. We understand this is a challenging puzzle to understand, so feel free to ask question or view the updated 2019-20 SMCS PASE Guide last page for a visual.

Are you interested to assist a PSIA mentor? Email pase@stmarystaylor.org for next steps or any questions about PASE options.

This form is used to acknowledge, register and/or change elections for our Program of After School Enrichment. It also serves as a change request form for existing participants. This form will help ensure enrollment of your students in the appropriate classes or let us know you would like to "Opt-out" at this time.

Completing this form acknowledges that you understand and agree to the current SMCS Program of After School Enrichment Program Guide. You may begin by entering an email address for the person completing this form and proceeding through the applicable questions. Some classes have caps and they will be filled on first come first served basis.

The current Program of After School Enrichment (PASE) Guide policies and procedures, to review and understand, are available here: http://bit.ly/2019-20PASEGuide

After school activity considerations:

1) Monday and Wednesdays Girls Practice: 4:00 - 5:30 (Sign out with coach, unless transferring to PASE)
     (Soccer will be co-ed M-Th: 3:45 to 5:00pm with a 2nd Session offering form MANY classes.)

2) Tuesday and Thursday Boy's Practice: 4:00 - 5:30 (Sign out with coach, unless transferring to PASE)
     (Soccer will be co-ed M-Th: 3:45 to 5:00pm with a 2nd Session offering form MANY classes.)

3) Friday: Beginner Bell: 4:00 - 4:45 (Sign out with Mrs. Vanecek from the cafeteria, unless transferring to PASE)

4) Friday: Cheer: 4:00 - 5:00 (Sign out with Mrs. Streit in the gym or cafeteria, unless transferring to PASE)

5) Friday: Advanced Bell: 5:00 - 5:45 (Sign out with Mrs. Vanecek in the cafeteria, unless transferring to PASE)

Please email pase@stmarystaylor.org with any questions or contact the school office for assistance.
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Email *
Student's First Name *
Student's Last Name *
What is your students grade for the 2019-20 school year? *
Why are you completing this form? *
When will this PASE enrollment, change, discontinuation or decline take effect? (If you are opting out of PASE, please enter today's date.) *
MM
/
DD
/
YYYY
How many days per week will your student attend PASE? *
If this is a withdrawal, please provide feedback for administration review.
You may also use this space to provide ANY feedback and/or additional classes that you would like to see, etc.
PK3-K Grade Options
Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a PK3 through Kindergarten student, select the following elections. You may skip the 1-4 and 5-8th grade options.
Grades PK3-Kinder Monday options:
Clear selection
Grades PK3-Kinder Tuesday options:
Clear selection
Grades PK3-Kinder Wednesday options:
Clear selection
Grades PK3-Kinder Thursday options:
Clear selection
Grades PK3-Kinder Grade Friday options:
Clear selection
1st-4th Grade Options
Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a PK4 through 4th grade student, select the following elections. You may skip the 5-8th grade options.
Grades 1st-4th Grade Monday options:
Clear selection
Grades 1st-4th Grade Tuesday options:
Clear selection
Grades 1st-4th Grade Wednesday options:
Cooking may be limited due to staffing and space available to complete the class optimally.
Clear selection
Grades 1st-4th Grade Thursday options:
Students may join piano with limited to no experience, but staff and space resources may have limitations.
Clear selection
Grades 1st-4th Grade Friday options:
Clear selection
5th-8th Grade Options
For the 2nd Semester many 5-8th Grade students will have the option to participate in a Class 2nd Session AFTER Soccer! Complete ONLY the grade level options relevant for your child. Classes are subject to availability.
Example: If this is for a 5th through 8th grade student, select the following elections. You should skip the above PK3-4th grade options.
Grades 5-8th Grade Monday options:
During Semester 2, we are working to have TWO sections of Robotics: Elementary 4-5pm; Junior High: 5-6pm see the PASE Director or other staff if you have questions.
Clear selection
Grades 5-8th Grade Tuesday options:
During Semester 2, we are working to have TWO sections of Robotics: Elementary 4-5pm; Junior High: 5-6pm see the PASE Director or other staff if you have questions.
Clear selection
Grades 5-8th Grade Wednesday options:
Clear selection
Grades 5-8th Grade Thursday options:
Clear selection
Grades 5-8th Grade Friday options:
Reminder: Beginner Bells 4:00 - 4:45; Advanced Bells 5:00 - 5:45
Clear selection
I understand the 2019-20 St. Mary's Catholic School's Program of After School Enrichment Guide and agree to follow the policies and procedures therein. I also am aware of the fee structure and FACTS billing that will be applied to my account. (Enter the name of the person completing this form below.) *
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