Student Name (Last, First)

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Address

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Grade in May/June 2016

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School child attends

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Date of Birth

Allergies (if none, please indicate N/A)

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Medical Conditions (if none, please indicate N/A)

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Please indicate the course that you are registering for in the Week 1 AM session.

Week 1 AM classes will be held July 11, 2016-July 14, 2016 from 9:00-10:00.

I am not registering for a class in the Week 1 AM session.
Creative Writing - Grades 3-6
Model Rocketry - Grades 3-6
Lego Engineering - Grades 3-5
Math Mania - Grades 4-8
Middle School Lacrosse - Grades 5-8

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Please indicate the course that you are registering for in the Week 1 PM session.

Week 1 PM classes will be held July 11, 2016-July 14, 2016 from 12:00-1:00.

I am not registering for a class in the Week 1 PM session.
Elementary Lacrosse - Grades K-4
Yoga - Grades K-5
Knitting - Grades K-5
Jr. Minecraft Game Designer -Grades K-3

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Please indicate the course that you are registering for in the Week 2 AM session.

Week 2 AM classes will be held July 18, 2016-July 21, 2016 from 9:00-10:00.

I am not registering for a class in the Week 2 AM session.
Book Club-Grades 5-6
Model Rocketry - Grades 3-6
Math Mania - Grades 4-8
Scrapbooking - Grades 3-8
Kids on the Run-Grades 3-5
Math Fun K&1-Grades K-1

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Please indicate the course that you are registering for in the Week 2 PM session.

Week 2 PM classes will be held July 18, 2016-July 21, 2016 from 12:00-1:00.

I am not registering for a class in the Week 2 PM session.
Yoga - Grades K-5
Knitting - Grades K-5
Master Minecraft Game Designer -Grades 3+
Kids on the Run-Grades 3-5

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Please indicate the course that you are registering for in the Week 3 AM session.

Week 3 AM classes will be held July 25, 2016-July 28, 2016 from 9:00-10:00.

I am not registering for a class in the Week 3 AM session.
Tennis-Grades 4-8
Project Invention - Grades 3-6
Fun with Fitness and Sports - Grades 3-8
Arts and Crafts - Grades 1-3
A Week of Softball Instruction-Grades 4-8

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Please indicate the course that you are registering for in the Week 3 PM session.

Week 3 PM classes will be held July 25, 2016-July 28, 2016 from 12:00-1:00.

I am not registering for a class in the Week 3 PM session.
Thinking Outside the Hat: Critical Thinking with Magic Tricks - Grades 2-5
Knitting - Grades K-5
Jr. Minecraft Game Designer K-3
A Week of Softball Instruction-Grades 4-8

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Please indicate the course that you are registering for in the Week 4 AM session.

Week 4 AM classes will be held August 1, 2016-August 4, 2016 from 9:00-10:00.

I am not registering for a class in the Week 4 AM session.
Tennis-Grades 4-8
Project Invention - Grades 3-6
Fun with Fitness and Sports - Grades 3-8
Softball Pitching and Catching -Grades 4-8
Math Fun 2&3-Grades 2-3

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Please indicate the course that you are registering for in the Week 4 PM session.

Week 4 PM classes will be held August 1, 2016-August 4, 2016 from 12:00-1:00.

I am not registering for a class in the Week 4 PM session.
Thinking Outside the Hat: Critical Thinking with Magic Tricks - Grades 2-5
Knitting - Grades K-5
Master Minecraft Game Designer-Grades 3+
Softball Pitching and Catching -Grades 4-8

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Parent/Guardian Name

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Home Phone

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Cell Phone

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E-mail

All correspondence will be via email unless there is an emergency while the course is in session.

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Emergency Contact #1 Name

Please list at least two people to be contacted in case of an emergency and you are unable to be reached.

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Emergency Contact #1 Home Phone

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Emergency Contact # 1 Cell Phone

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Emergency Contact #2 Name

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Emergency Contact #2 Home Phone

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Emergency Contact #2 Cell Phone

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One- Week (60 min) Courses $50.00 ($60.00 for out-of-district students) for the entire week.

Please indicate amount of check. Checks should be made payable to Spring Lake Heights BOE. CHECKS ARE DUE ON THE FIRST DAY OF CLASS TO THE CHILD'S TEACHER. *Include student name and grade on all checks.

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Questions: Kelly Lang klang@slheights.org and Francesca Vernoia fvernoia@slheights.org

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2016 Spring Lake Heights Summer Enrichment