Teller Enrichment Fall 2017 (9/11-11/17)
Thank you for your interest in after school enrichment clubs at Teller!

Violin Dates
September 29
October 6, 13, 20
November 10, 17
December 1 and 8

Beginning Band has two trombones remaining. If your family owns an instrument or would like to rent an instrument other than what we have left you can still join band.

You will receive an email from Maddisen Coil, program specialist at Teller, (MADDISEN_COIL@dpsk12.org) confirming your child's enrollment and payment will be completed online or in person with Maddisen Coil upon confirmation of registration.

Email address
Student First Name
Your answer
Student Last Name
Your answer
Grade
Teacher (last name only- eg. OGINNI, SLIVNICK)
Your answer
Please select the classes you would like to register for:
Classes
Parent First and Last Name
Your answer
Communication Email Address
Please ensure your email is correct. All communication will be sent to this email.
Your answer
Parent Phone Number
Your answer
Does your student have any allergies or are they in need of any special accommodations?
If no please write no or N/A
Your answer
Have you participated in a Neighborhood Center program before?
May your child walk home alone after enrichment?
Discovery Link Parents Only: My child may attend enrichment programs on scheduled dates
Terms and Conditions
All must be checked
Required
Parent Signature
Please type in your name as acknowledgment
Your answer
A copy of your responses will be emailed to the address you provided.
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