Document 409993

s
rheAfterSchool
For Grades
K_znd and 5rd_6th
tt ess Cfub
s
J..
s::
*:.
Tuition: $96
Sibling discounl: $93 eoch
this edmfimal actMU is desisrd to enhance yur childs skills ln:
Mathematlcs. Radlng Comprehenslon, and Crltlnl fhlnklng
Class #
Dav
wk1
Robinson
Valencia
Cielo Vista
Del Cerro
Linda Vista
Lomarena
ASP1O74
MON
Lt
ASP1O75
MON
ASP1067
ASP1069
TUE
ASP'1O72
ASP1O73
Del Laso
Cordillera
Lake Forest
School
/t7
lt/t7
tt/tB
1./s
1./12
t2 /9
t2/t6
t2/9
t2/3
t2/3
L2/t6
L2/t0
L/6
L/6
L/t3
L/t3
t2/17
t/7
t/7
t/7
/L
*1.2/B
12
/1
t2/2
*L2
WED
1.L/19
WED
LL/12
t[/1.9
ASPlOTO
WED
THU
ASP1O71
THU
/t2
tt/20
tt /20
1.1./t9
ASPlO6B
t1.
wk6
1/t2
wk3
L2
II/LB
tt/L2
TUE
wk5
r/s
*,J,2/B
wk4
L2/ts
12/t5
wk2
/2
*L2/3
*L2/4
*L2/4
t2/t7
12/tt
t2/t0
t2/t0
t2/tB
12/LB
t2/17
L2/L7
tlB
rlB
wk7
r/26
r/26
r/20
wkB
Time/Location
2/9
2/9
2:40-3:40 /Llbrarv
L/27
2:20-3:20 / Library
L
/20
2:50-3:50/Room 28
7
/t4
| /27
L/2L
1
:20-2:2 0TLunch Tables
2:20-3:20 /Librarv
1/27
1/29
L/29
t/22
t/22
t/L5
1:10-2:10/MPR
t/21
1/L4
1/14
r/L5
2:35-3:35 MPR/MUB
2:20-3:20/ P-7
2:35-3:35 /MPR
*Minimum doy schedule olerl 12/1 lhtovgh 12/81The chess closs will be modified bosed on your school's minimum doy
schedule ond will stort 5 minutes ofter school dismissol time throughout these dotes. Pleose contoct us if you hove ony questions.
Tel: (949) 354-3470 / Emoil: [email protected]
Save the above record as a reminder for scheduled dates, times, and meeting location
-;;;"1*,,""il"-,,,f, ,-piritiiloi*'uitiir.-"o-rEuii"i*iJ"iirE"-
OR: Turn this "Registration & Release Form" along with payment (cash, check, or credit card) to the Chess instructor. Please
do not submit the tuition payment to the school office.
REGISTRATION & RETEASE FORM
Class#:
Sex:
Participant name:
Last
_
Grade:
_
Birthdate:
First
Parent or guardian name:
Email address:
Address:
Street
Home phone:
(
Zip Code
City
Work phone:
)
Cell phone:
(
(
)
Additional Emergency Contact:
Relotionship
Nome
Payment: (Please make checks payable to "SVUSD") Check #:
Phone (s)
Credit Card #:
exp:
_
voluntarily agree to participate or for my children to participate in these programs. I realize that every precaution is taken to eliminate any
hazards and a competent supervisor is present. However, in the event of any injury to myself or my child, I hereby waive, release and hold
harmless from any liability for damages for personal injury, including accidental death, as well as from claims for property damage which may
arise in connection with the above named activity, against the employees of the Department of Recreation and Community Services and the
I
Saddleback Valley Unified School District.
Authorized signature:
Date:
Refund Policy: Refund of registration fees for classes will be granted provided you notify the instructor within five business days prior to the
start of the class. A $10 processing fee will be charged. Less than five business days and after classes begin, refunds are granted for reasons of
injury,changeofworkhoursorrelocationoutofthearea.
Verificationisrequired. Refundsarenotgrantedforanyreasononcetheclasshas
concluded.
Walk-in Registration at: Community Services Dept. 25631 Peter A. Hartman Way, Mission Viejo, CA 92591
further information, please call: SVUSD Community Services Department (949) 758-0981, extension 1.
For
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