AFTER SCHOOL PROGRAM Grades K-6th

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1 AFTER SCHOOL PROGRAM Grades K-6th Child s Name Grade: School: Child s Name Child s Name Child s Name Grade: Grade: Grade: School: School: School: The following persons (please include yourself) have my permission to pick up my child(ren) from the Club: 1. Name: 2. Name: EMERGENCY MEDICAL INFORMATION You have my permission to seek emergency medical treatment for my child(ren) if I cannot be reached. Parent s Initial 3. Name: SPECIAL PROBLEMS/CONDITIONS Examples: hearing, speech, asthma, emotional, behavioral How did you hear about us (please circle one)? Friend Internet Other: Returning/existing member 4. Name: 5. Name: Parent/Guardian Signature: Date:

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4 The Thunderbirds Branch Summer 2018 Specialized Class Registration Form The registration of members will be on a first come, first served basis, subject to seating availability. Member s Name: Date: Grade(entering next year): Please rank your specialized class preferences with 1 being of highest preference, and 3 being of lowest preference. Week 1: May 29-June 1 Lego Club Recycled Art Club Yoga Club Jail Dodgeball Club Conservation Club Jail Dodgeball Club Photography Club Minecraft Club Bump Out Club Cardio Dance Club Week 2: June 4-8th Squishy Club Bump out Club Tournament Club Improv Club Building Club Snack Attack Spanish Club Week 3: June 11-15th Capture the Flag Club Dungeons & Dragons Capture the Flag Club Mario Maker Club Tag Club Jumbo Games Club Meditation Club Week 4: June 18-22nd Tag Club Minecraft Club Lanyard Club Rocket Club Space will only be held once weekly deposits have been placed.

5 The Thunderbirds Branch Summer 2018 Specialized Class Registration Form The registration of members will be on a first come, first served basis, subject to seating availability. Member s Name: Date: Grade(entering next year): Please rank your specialized class preferences with 1 being of highest preference, and 3 being of lowest preference. Week 5: June 25-29th Squishy Club Pokemon Club Fitness Blender Rocket Club Tournament Club Volleyball Club Graphic Design TBirds Ninja Warrior Kahoot Club Glee Club Week 6: July 2nd-July 6th TBirds Ninja Warrior Crazy Eights Dungeons & Dragons Squishy Club Speedy Games Magical Creature Art Soccer Club Week 7: July 9th- July 13th Soccer Club Comic Book Club Yoga Club Hogwarts Express Soccer Club Cheer Club Gardening Club Sprout Ball Club Week 8: July 16th-July20th Ultimate Frisbee Foursquare Club Multiplayer Madness Ultimate Frisbee Space will only be held once weekly deposits have been placed.

6 The Thunderbirds Branch Summer 2018 Specialized Class Registration Form The registration of members will be on a first come, first served basis, subject to seating availability. Member s Name: Date: Grade(entering next year): Please rank your specialized class preferences with 1 being of highest preference, and 3 being of lowest preference. Week 9: July 23rd-27th Medic Dodgeball Dinosaur Club Tai Chi Club Medic Dodgeball Jr. Archaeology Four Square Club Tie Dye Club Card Sharks Coloring Club Fitness Challenge Week 10: July 30th-April 3rd Fitness Challenge Lanyard Club Fitness Challenge Forensic Science Club Space will only be held once weekly deposits have been placed.

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