Editing previous response:

Please fix the highlighted areas below before submitting.

E2 Enrichment- Service Club (Monday)

E2 Enrichment - Service Club (Monday)

Grades 4-6

Complete this form to register for the E2 Enrichment Service Club. Please register only one student at a time. Registration is limited, and enrollment will be based on a first-come, first-served basis.

Description: In Service Club our goal is to do acts of service for our community, by doing this students will build a stronger, kinder and more connected community here at Villa. Students will help plan, organize and participate in service projects. This class is taught by Kaila Durocher, assistant teacher E2

Cost: $45 (non-Circle), $35 (Circle)

Material Fee (one-time): $45

Start Date: September 11, 2023

End Date: April 29, 2024

Time: 3:15 - 4:00 PM

Location: E2, Room 215

Student Information

Student First Name*

Answer Required

Student Last Name*

Answer Required

Teachers' Name*

Answer Required

Student Grade*

Answer Required

4th

5th

6th

Student is Enrolled in Circle*

Answer Required

Yes

Parent/Guardian Contact Information

Parent/Guardian 1 First and Last Name*

Answer Required

Parent/Guardian 1 Phone Number*

Answer Required

Parent/Guardian 1 Email*

Answer Required

Parent/Guardian 2 First and Last Name

Answer Required

Parent/Guardian 2 Phone Number

Answer Required

Parent/Guardian 2 Email

Answer Required

By clicking “Agree to Charge”- I give permission for my Tuition Express Account to be charged $45 (non-Circle) or $35 (Circle). I understand that this charge is non-refundable.*

Answer Required

Agree to Charge

Confirmation Email

Email Required