2018-19 SMCS Program of After School Enrichment (PASE) Drop-In Request Form
This form is used to request a SMCS student participate, as a Drop-In, for our Program of After School Enrichment.
This form is for any current SMCS student.

It is helpful to also email:
pase@stmarystaylor.org and the students teacher.
Calling the school office is requested to ensure the form and email request was received.

* Sign out is required from RM-303, our Resource Lab.
* Please use the Northeast Gym / PASE Entrance.
* Payment is not required or accepted at the time of participation.
* Your FACTS account will be billed $10, per student, for participation in this as needed service.

Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
What is your students grade for the 2018-19 school year? *
What day do you need your student to be a Drop-In? *
MM
/
DD
/
YYYY
Enter any additional information you need to share with us for this request/day. (Optional)
Your answer
I understand the 2018-19 St. Mary's Catholic School's Program of After School Enrichment Guide and agree to follow the policies and procedures therein. (Enter the name of the person completing this form below.) *
Your answer
SMCS Administrative use ONLY: Please skip this section.
Your answer
Submit
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