2023 After School Enrichment Enrollment Form
We are so excited that you are enrolling your student!
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Email *
Your Child's First Name *
Your Child's Last Name *
What cluster is your student in? *
Parent/Guardian First and Last Name *
What is their Homeroom room number? *
What is the best email to reach you at? *
What is the best phone # to reach you at? *
What is the second best phone # to reach you at?
What is the name of an emergency contact person? *
What is the emergency contact person's phone #? *
What is your relationship to the student? *
How will your child get home after the class? *
COURSE SELECTION
Placement is done on a first-come, first-serve basis. Please indicate your child's first, second, and third choices below.  Please do NOT choose the same class for all three choices. If there is not enough enrollment for a particular club, there is a chance it might not run. In that case, I would give your child their second or third choice. Sometimes the programs also reach the maximum number of students, and in that case we would give your child their second or third choice. We appreciate your cooperation. 
Choose top 3 choices. 
First Choice
Second Choice
Third Choice
Checkmate Champions
Sports of all Sorts
Strategies for Success
Legends, Myths, & Heroes
Friendship Bracelets & Taylor's Tunes
Old School Gaming
Creative Writing: Crafting Worlds Through Words
"Who's the GOAT?" The Sports Highlights Club
Fun in the Kitchen
Paper Football
Mixed Media Magic
Clear selection
Please indicate any allergies, or special information you feel is necessary for us to know about your child for enrichment:

Please print and fill out the form linked below if there is special medical information that the teacher should know about since there is NOT a nurse in the building at the time of enrichment.  

https://docs.google.com/document/d/1r48EUm-6eJx10H20EOOd9Mc-T7xtCcbR/edit?usp=sharing&ouid=100611403322906653078&rtpof=true&sd=true

Please let Caroline Bacon (Room 227) know if you need a copy of the medical form. 
*
If you child was present for school but absent from enrichment, the school does notify you through a text message. What is the best number for you to receive this text? 
Thank you for enrolling your student! You will be notified through email what club your child will be in no later than 2/16

Cash or checks can be passed into your child's homeroom teacher by February 16th.  Checks can be payable to the Town of Marshfield (memo – FBMS-ASEP).

You may also pay online:
The Marshfield Public Schools offers on-line payments and payment scheduling through UniBank’s UniPay Gold site, which is available on our homepage, www.mpsd.org, or directly at:

https://unipaygold.unibank.com/default.aspx?customerid=935
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