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RIVER OAKS REGISTER AND PAY

1. Parent's First name*

1. Parent's Last name*

2. Parent's First name*

2. Parent's Last name*

E-mail*

Phone*

STUDENT'S INFORMATION

School Name*

River Oaks Elementary School

Harvard Elementary

Mandarin Immersion Magnet School

PLEASE FILL OUT ALL INFORMATION FOR YOUR CHILD*

I understand that if I leave any fields blank (such as grade or teacher), the student will not be considered officially signed up.

Child's First Name*

Child's Last Name*

Grade*

Teacher Name*

Any Allergy's*

Choose an option*

Extended Learning

Car Pick Up

MARTIAL ARTS & PAINT EXPLORERS HAVE REACHED FULL CAPACITY AND CAN HAVE NO MORE SIGN UPS.

CHOOSE YOUR CLASS (STUDENT #1)*

Hip-Hop Dance (THUR)$450

Ballet (TUE)$500

Cheer (MON)$500

Bollywood (TUE)$575

STUDENT #2 INFORMATION

Child's First Name #2

Child's Last Name #2

Grade

Teacher Name

Any Allergy's

CHOOSE YOUR CLASS (STUDENT #2)

Hip-Hop Dance (THUR)$450

Ballet (TUE)$500

Cheer (MON)$500

Bollywood (TUE)$575

STUDENT #3 INFORMATION

Child's First Name #3

Child's Last Name #3

Grade

Teacher Name

Any Allergy's

CHOOSE YOUR CLASS (STUDENT #3)

Hip-Hop Dance (THUR)$450

Ballet (TUE)$500

Cheer (MON)$500

Bollywood (TUE)$575

AUTHORIZED STUDENT PICK UP

Be prepared to present your I.D. and school assigned car tag # for verification at the time of pick up.

For your child’s safety, they will only be released to the individuals listed below.

1. Authorized Parent Pick-up Name*

1. Authorized Parent Pick-up Contact #*

2. Authorized Parent Pick-up Name

2. Authorized Parent Pick-up Contact #

3. Authorized Parent Pick-up Name

3. Authorized Parent Pick-up Contact #

INTERESTED AND WOULD LIKE MORE DETAILS?

INTERESTED AND WOULD LIKE MORE DETAILS?*

Spring Break Classes

Summer Camp

Weekend Enrichment

Monthly Newsletter

Not Interested

ANY QUESTIONS

Any Questions or Comments?

EST. 2009

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