NBE After-School Programs Winter 2015 –Brought to you by NBE PTA Student Name:_____________________________ Grade: ____Teacher:___________________ Parent/Guardian Name:__________________________________________________________ Phone (H)_______________________________ Phone (C)______________________________ EMAIL PLEASE PRINT:____________________________________________________________ Allergies or special health concerns:_________________________________________________ After School Programs: (Select all desired classes) *Class size is limited and enrollment is on a first come, first served basis. No same day registration allowed. due January 20. There are no refunds for missed classes. Please return registration form and payment to the NBE office or your child’s teacher. Once enrolled, parents will receive an email confirmation. If you do not receive this confirmation, do not send your child to class. Questions contact thedoys@comcast.net. Fee Lego Mondays 3:30-4:30 Grades 1st-5th 8 weeks: Jan 26, Feb 2, 9,23 March 2,9, 16, 23 $125 Checks Payable to: NBE PTA Game Design Mondays 3:30-4:45 Grades 3rd -5th 8 weeks: Jan 26, Feb 2, 9,23 March 2,9, 16, 23 $176 Checks Payable to: NBE PTA Paper Crafting-Tuesdays 3:30-4:30 Grade 3rd-5th 8 weeks: Jan 27 Feb 3,10, 24 March 3,10,17, 24 $85 Smart with Art-Tuesdays 3:30-4:45 Grade K--5th 8 weeks: Jan 27 Feb 3,10, 24 March 3,10,17, 24 $156 Solving the Rubik’s Cube-Wednesday 3:30-4:30 Grade 3rd-5th 8 weeks: Jan 28 Feb 4,11, 25 March 4,11,18, 25 $60 Guitar Wednesdays-3:30-4:15 Grade 2nd -5th 8 weeks: Jan 28 Feb 4,11, 25 March 4,11,18, 25 $120 Pickleball-Thursdays 3:30-4:30 Grade 2nd -5th 8 weeks: Jan 29 Feb 5,12, 26 March 5,12,19, 26 $80 Dodgeball Thursdays-3:30-4:30 Grade 2nd -5th 8 weeks: Jan 29 Feb 5,12, 26 March 5,12,19, 26 $65 Checks Payable to: NBE PTA Rock Climbing Tuesdays-3:30-4:15 Grade 2nd -5th 8 weeks: Jan 27 Feb 3,10, 24 March 3,10,17, 24 $80 Checks Payable to: NBE PTA Chess 4 Life Fridays 1:30-2:30 Grade K-5th 8 weeks: Jan 30, Feb 6, 14, 28 March 6, 13, 20, 27 $114 Checks Payable to: NBE PTA Algebra 7:45-8:45am 5th Grade or with Mr. Flanagan’s Approval 6 weeks Select 2 days you be attending Tuesday___ Wednesday ___ Thursday ___ Friday ____ (see description for selecting days) $70 Checks Payable to: NBE PTA PTA USE ONLY- Date Received ____________ Ck #__________ Ck Amount $_______________ Cash$_______________________ Registration forms Checks Payable to: NBE PTA Checks Payable to: NBE PTA Checks Payable to: NBE PTA Checks Payable to: NBE PTA Checks Payable to: NBE PTA Total Classes:_______ Total Amount Enclosed:_____________