JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bartram Springs Elementary After School Enrichment Program
Session 4 - 2018-2019. *** Registration open for Guitar/Ukelele ONLY ***
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
*** Registration open for Guitar/Ukelele ONLY ***
Parent/Gaurdian 1:
*
Your answer
Phone number:
*
Your answer
Parent/Gaurdian 2:
Your answer
Phone number:
*
Your answer
We will be using
remind.com
for class updates. Click here to opt out of these text messages.
Opt out of reminder texts
Student Name (One student per registration form)
*
Your answer
Grade
*
Choose
Kindergarten
1st
2nd
3rd
4th
5th
Teacher
*
Your answer
How will your child get home?
*
Choose
Will be picked up after program ends.
Extended Day (Student will go directly to their Extended Day class after program ends.)
Walker or bike rider. (Signed release form required. Click the link below to print.)
Walker + Biker Release Form
https://drive.google.com/file/d/1XFGm6BUriPedHRgkhf_YA84RlcPF8OmX/view?usp=sharing
Signed walker release forms can be sent to
bargerk@duvalschools.org
or sent in with student prior to first class.
Which program(s) are you registering your student for?
*
Golf K-5th - Tuesdays Only
Golf K-5th - Thursdays Only
Golf K-5th - Tuesdays AND Thursdays
Tennis K-5th - Mondays Only
Tennis K-5th - Fridays Only
Tennis K-5th - Mondays AND Fridays
Art K-5th - Fridays
HINDI K-5th - Tuesdays
Chess Club 1st-5th - Tuesdays Only
Chess Club 1st-5th - Thursdays Only
Chess Club 1st-5th - Tuesdays AND Thursdays
Media Production 3rd-4th - Tuesdays
Guitar/Ukelele 2nd-5th - Thursdays
Required
Copies of all policies can be found here:
*
https://rebrand.ly/BSEpolicies
I agree to the discipline policy.
I agree to the late pick up policy.
I agree to the photo release.
I agree to the refund policy.
I agree to the third party release form.
Required
Please list any known allergies your child has.
Your answer
Additional comments:
Your answer
To complete registration, pay for class(es) here:
https://dcps.schoolcashonline.com/Fee/Index
This link will also be shown on confirmation page.
Registration is not complete until payment in full is made.
Questions? Please contact Kristen Barger at
bargerk@duvalschools.org
or 904.260.5860.
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
