Class sizes are limited and registration is on a first
come, first serve basis. You will only be notified if a class you
selected is full. Please refer to this website for start dates and
times. Homework clubs and Enrichment classes do not run on half
days. No refunds will be issued after the start date of classes.
| SESSION I ENRICHMENT REGISTRATION - MIDDLE SCHOOL |
| Student's Name: |
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Grade: |
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| Home Room Teacher: |
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| Mailing Address: |
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Home Telephone: |
 : |
| City: |
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Work/Cell Telephone: |
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| Email: |
| Medical Concerns: |
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| Allergies: |
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| Emergency Contacts (in the event you cannot be reached): |
| Name: |
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Telephone: |
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| Name: |
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Telephone: |
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Can we use photos for any media including our web
site? No names will be included __ Yes __ No |
Please list course selection(s) and return with
payment to the Middle School Office, bring to our offices at the
Harwich Elementary School, or mail to address above NO later than
Tuesday, September 21st. Do not delay as classes fill quickly.
Make check payable to the TOWN OF HARWICH. |
| Course No. |
Name of Course |
Fee |
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Please Sign: I give permission for my child to
take enrichment courses stated above: |
| Signature: |
Date: |
Check all that apply:
___ My child has permission to take the late bus at 3:15 PM.
___ My child will be picked up after the course.
___ My child has permission to walk home after the course. |
The Harwich Public School district does not discriminate on
the basis of race, sex religion, national origin, sexual orientation
or disability. |