21st Century Registration Spring 2019
IMPORTANT INFORMATION!!!
You will able to start the week after you register. For example--if you register on a Tuesday--you will be able to start the week on Tuesday. Please see Ms. Gonzales if you have any questions. **This is the process so that we can make sure all students are added to transportation, if needed AND are cleared for any medical conditions that the after school staff may need to know about. Safety is our priority!

The 21st Century Program After School Program will begin September 17th. Register now to qualify for transportation home (if you live within PHMS boundaries). See Ms. Gonzales in room 254--if you have any questions. All after school programming will end at 5:20 pm. All students who are getting picked up MUST be picked up no later than 5:25 pm. Please make appropriate arrangements.

Please NOTE CHANGES to how learning lab will run for the remainder of the school year!! See below.

IMPORTANT--beginning September 16th, we are going to offer morning learning labs on Monday, Wednesday, and Friday in the library from 7:00-8:00 am. No need to register--just show up!

IMPORTANT--Please note that some of the enrichment courses are not wait list only! See Ms. Gonzales if you have any questions.

Ms. Gonzales' contact information--

cgonzales5@greeleyschools.org OR 970-348-3690
First Name *
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Last Name *
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Lunch # *
Your answer
Mentor Teacher *
Your answer
Grade *
Parent/Guardian's First and Last Name *
Your answer
Parent/Guardian's Phone Number 555-555-5555 *
Your answer
Your home address (For example-555 Hawks Lane) *
Your answer
What bus do you ride to and from school each day? Example R803. If you do not ride the bus, type that you WALK or get picked up. *
Your answer
TUESDAY ONLY After School Learning Lab--Science and Math (meet in the cafeteria for supper--YOU MUST report by 4 pm in order to participate.) *
Required
THURSDAY ONLY After School Learning Lab--ELA, Math and Social Studies (meet in the cafeteria for supper)--YOU MUST report by 4 pm in order to participate.) *
Required
Do you need bus transportation? *
Tuesday Classes (Pick one--once you register for a class--you will not be able to change.)
Thursday Classes (Pick one--once you register for a class--you will not be able to change.)
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