After School Activities Registration

Please fill out the form below. You will be billed via FACTS to confirm your registration.

Student Information

Student's Name(Required)

First Last

Grade(Required)

Parent Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Pick Up Person

Name(Required)

First Last

Phone(Required)

Email(Required)

Cub Club

Attending Cub Club after

Select Activity

ABC Crafting with Mrs. Kaufman & Mrs. McKenna (9 spots left)

Soccer Club with Coach Blake Mease & Mr. Mease (0 spots left)

Intro to Piano with Mrs. Blind (0 spots left)

Story Time with Willow & Ms. Wendt (0 spots left)

Dance with Mrs. Mac (2 spots left)

Phone

This field is for validation purposes and should be left unchanged.