Project Success After School Tutoring Program
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Registration Form
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| I would like to enroll my child in Henry's Project Success
After School Tutoring Program. I understand that transportation is
my responsibility: no buses will transport kids home after the tutoring
program. I understand that IF STUDENTS ARE NOT PICKED UP BY 4:30
P.M. THAT THEY WILL BE INSTRUCTED TO WALK HOME. I also
understand that students will be expected to bring work for days listed
below. If they have no work to do, they should not come. It is
the parent's responsibility to work details out with their child. |
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| Name of Student:
___________________________________________________ |
| Address:
__________________________________________________________ |
| Phone Number: ___________________
Grade: ________ Date: _____________ |
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| I would like for him/her to attend: |
| Check all that apply: M______ T
______ W______ Th______
F______ As Needed _______ |
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| This program is made possible through community donations
and Project Fund-Raisers. Certain times throughout the year we need parent
volunteers. Please check the activities for which you would
be willing to work. |
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| ________ |
1. |
Volunteer Tutor (minimum commitment - once a week) |
| ________ |
2. |
Stand-by Volunteer Tutor (will call as needed) |
| ________ |
3. |
Substitute Supervising Tutor (will call as needed) |
| ________ |
4. |
Would like to serve on the Project Success Board
(usually meets first Monday of the month from 2:00 - 3:15 p.m. at
HSGS) |
| ________ |
5. |
Volunteer to work at the Chicken/Spaghetti Dinner |
| ________ |
6. |
Co-ordinate volunteers for Chicken/Spaghetti Dinner |
| ________ |
7. |
Volunteer to make pies for Bake Sale |
| ________ |
8. |
Sell pies at Bake Sale |
| ________ |
9. |
Work concession booth as a Fund-raiser |
| ________ |
10. |
Co-ordinate volunteers to work Grade School Concession
Booth |
| ________ |
11. |
Volunteer to help collect money for Magazine Sale |
| ________ |
12. |
Just call when you need me |
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Parent Signature:
___________________________________________________
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