North Ranch Elementary
Homework Help Club
After School Program

2009-2010
Afternoon Sessions

Location: Varies
Monday - Tuesday - Wednesday - Thursday
Time: 3:00 P.M. - 4:00 P.M.
There is no requirement to register for all sessions.
The cost for each session will be $90.00 regardless of how many days your student attends.


Homework Help Club Registration

Student Name __________________________________________________

Student GRADE LEVEL______________________

Address ___________________________________________________________

Parent name _______________________________________________
Home Phone ( ) ______________________
Work Phone ( ) ______________________


I would like to register my child for the following sessions:

Quarter 1 Aug.24 - Oct.8_________________________________________________
Quarter 2 Oct. 13- Dec. 17_______________________________________________
Quarter 3 Jan 4- March 11 ______________________________________________
Quarter 4 March 15 - May 20____________________________________________

Number of sessions : ( ____ ) x $ 90.00 = $ ______
1 = $90.00 .......... 2 = $180.00................ 3 = $270.00............ 4 = $360.00

Please make checks payable to : North Ranch Elementary School