HCOS Online LC Registration for Sr. High Book Club

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HCOS invites you to participate in the Senior High Book Club, a Learning Camp with Mrs. McLeod, HCOS Support Teacher

The Senior High Online Book Club will be meeting once every 6 weeks on Skype or Elluminate dependent upon the number of participants. We will be talking about each book through sharing our thoughts and gaining different perspectives from others. Great times and meaningful learning!!

First two books are listed on our Book Club Blog: http://mrsmcsbookclub.wordpress.com/

Any grade 11 or 12 students from any school are invited to join!!!

Our 1st and 2nd meeting were held on October 19th and November 9. Future meetings will be held on January 11, February 22 and April 4th with a final meeting in May for an author reading.
Time: 11 a.m.
Place: Skype Group Call
Suitable for grades: 11 - 12
Minimum # of partcipants needed: 5
Maximum # of participants: 25
HCOS student cost: $10.00 for the year
Cost for other students: $15.00 for the year
Bring: Yourself, Your thoughts, and any notes from your reading that you would like to share.
Registration: Payment and registration - please make cheques payable to "April McLeod" and mail to: 6138 Sayward Road, Duncan, BC V9L 5K1

It would be great to have you join us! Should you have any further questions, please contact aprilmcleod@onlineschool.ca

Note, learning camp fees are non-refundable unless you are able to find another student to take your place. Thank you for your understanding.

Student Information

Information below pertains to Student 1 (additional students may also be registered at the same time. Following the parent info, you will see questionnaires for student 2, 3, 4). If you have more than 4 students to register, please email me with your registration info, thanks!

First Name *

Last Name *

Age *

Grade *

Care Card # *

Medical concerns/ allergies/ challenges *

Please explain (if there are no concerns, please type "n/a" or "none").

Parent Information

First name of Parent/ Guardian *

Last name of Parent/ Guardian *

Email address *

Phone number *

Cell phone number

Skype name

Emergency contact name *

Emergency contact phone number *

Relationship of student to "Emergency contact" *

Payment Method

Note, learning camp fees are non-refundable unless another student can be found to take your place.

School Information *

Registered

Enrolled

Other:

Required

Name of School *

Payment Method *

Note: Please refer to the top of this form for cheque payment and mailing details- thank you.

Payment Total *

PO#

Note: for more than one child enrolled in the same school, please calculate total due and pay with one PO# (if funds permit).

Name of Contact Teacher

(if applicable)

For more than one payment option, or to complete the payment information for students in a variety of school situations, please describe particulars below:

i.e. you want to pay using more than one PO#; you have 4 students and they are enrolled and/ or registered with different schools.

Second Student Information

Please enter below information for the second student you wish to register.

First name

Last Name

Age

Grade

Care Card #

Medical concerns/ allergies/ challenges

Please explain (if there are no concerns, please type "n/a" or "none").

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