The last day to return this form to your child’s teacher is Wednesday, March 16, 2011. Class sizes are limited; therefore, slots will be filled each day until the maximum class size is reached. Class confirmations will be sent home on March 17th.
Student’s Name: ________________________________________________
Grade: ______________ Teacher: _______________________
Home Phone: ______________Parent’s Cell Phone: _______________
Transportation home: Bus:______ Bus Stop:_____________
- or - Pick-up @ UPE:______
Circle to Register:
TAP Class Cost
Book Club $30/ $36 if we buy the book for you
Take a Nature Hike FULL $30
Hip Hop Dance $30
Rock Climbing $90
Batik FULL $40
Marimba $15 or $10 if you bring a parent to help
Lantern Parade $15
Subtotal: $_______
Scholarship Requested: $_______
Method of Payment (Circle) : Check Cash
TOTAL ENCLOSED: $_______
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