Eden Hall Upper Elementary PTO After School Programs
Eden Hall Upper Elementary PTO After School Programs - Winter 2017 sign up

Program runs on Wednesdays starting Jan 25, Feb 1, 8, and 15,. All programs begin at 3:05 pm and dismiss at 4:15 pm.

Please complete one form per child.

After you submit this form, you can use the link "Submit another response" to return to the beginning of the form for your next child. Make checks payable to "Eden Hall PTO". Please add your child's name and program to the memo field of your check, or on a note with your cash. Payment must be made to the PTO by Friday January 20th.

SPACE IS LIMITED!!! Registration ends January 20th or when class fills.
For Questions contact Colleen Schirato coldsvx@yahoo.com

Email address
Katie's Clay $75.00
Katie's Clay returns for some fun after school art projects. Students will work on heart and spring themed items. Perfect gifts for moms or grandparents. Student will be getting hands on time with clay.
Fun and Cross Training with Jump Rope $20.00
High school athletes will be back to have some fun with the kids jump roping. Coach Rhys will be running all 4 sessions. This is not just for the girls! Boys and girls will learn some fun tricks and it will be great cross training for all other sports (think of a boxer jumping rope, being light on your feet, dexterity and endurance). You may learn some of the tricks seen at last years assembly. This is open to all grades. You will get a competition jump rope to keep. If you took this class last year feel free to bring your practice rope.
Parent / Guardian Information
In this section please fill in all the required fields with your own information.
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Home Phone Number
Your answer
Daytime Phone Number
This is the number we will use to contact you if necessary during the programs.
Your answer
Email Address
This will be used for all after school program communications.
Your answer
Lateness Policy and Emergency Contacts
Three emergency contact numbers are required for each student. We will use these numbers if your student does not have someone to pick them up and we can not reach you.

Due to excessive lateness, the PTO now charges a lateness fee. Starting at 4:15 pm you will be charged $15.00. In addition, for every minute after 4:15 pm you will be charged $1.00 dollar per minute that you are late. If your child has a lateness fee balance they will not be able to participate in any PTO sponsored activities until the balance is paid.

Policy Acknowledgement
By checking this box you acknowledge that you have read and understand the lateness policy.
Required
Emergency Contact #1 Name
Your answer
Emergency Contact #1 Phone
Your answer
Emergency Contact #2 Name
Your answer
Emergency Contact #2 Phone
Your answer
Emergency Contact #3 Name
Your answer
Emergency Contact #3 Phone
Your answer
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