Leland & Gray Middle School After School Clubs Registration, Session #1
Here is the Leland & Gray Middle School registration form for our session #1 clubs. Clubs will run Monday - Thursday, 2:45p - 4:30p, October 5th - October 28th. PLEASE NOTE, in the event of an early dismissal/half day, there will be no clubs that day.

**THERE WILL BE A LATE BUS PROVIDED DURING THIS SESSION**
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Student's Name (First & Last) *
Student's School Email *
Grade *
Parent/Guardian's Name (First & Last) *
Email *
Telephone (Home) *
Telephone (Work/Cell) *
Emergency Contact Name (First & Last) *
Emergency Contact Phone Number (must be able to be reached during club hours) *
Do we have permission to photograph/video your child? *
Monday *
Required
Tuesday *
Required
Wednesday *
Required
Thursday *
Required
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