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NBE After-School Programs Registration Information: Fall 2014 –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) Fee *Class size is limited and enrollment is on a first come, first served Registration forms due September 19. There are no basis. No same day registration allowed. 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 [email protected]. Lego Mondays 3:30-4:30 Grades 1st-5th 8 weeks: Sept 29 Oct 6, 13,20,27 Nov 3,10,17 $115 Checks Payable to: NBE PTA Game Design Mondays 3:30-4:45 Grades 3rd-5th 8 weeks: Sept 22 ,29 Oct 6, 13,20,27 Nov 3,10 $168 Checks Payable to: NBE PTA Paper Crafting-Tuesdays 3:30-4:30 Grade 3rd-5th 8 weeks: Sept 23, 30 Oct 7,14,21,28 Nov 4, 18 $85 Smart with Art-Tuesdays 3:30-4:45 Grade K--5th 8 weeks: Sept 23, 30 Oct 7,14,21,28 Nov 4, 18 $156 Run and Bike Club Wednesdays 3:30-4:30 Grade 1st -5th 8 weeks: Sept 24 Oct 1,8,15,22,29 Nov 5, 12 $60 Guitar Wednesdays-3:30-4:15 Grade 2nd -5th 8 weeks: Sept 24 Oct 1,8,15,22,29 Nov 5, 12 $120 Checks Payable to: NBE PTA Dodgeball Thursdays-3:30-4:30 Grade 2nd -5th 8 weeks: Sept 25 Oct 2, 9, 16, 23, 30 Nov 6,13 $65 Checks Payable to: NBE PTA Rock Climbing Thursdays-3:30-4:15 Grade 2nd -5th 8 weeks: Sept 25 Oct 2, 9, 16, 23, 30 Nov 6,13 $80 Checks Payable to: NBE PTA UK Elite Soccer Fridays 1:30-3:00 Ages 7-10 only 6 weeks: Sept 26, Oct 3,10,17,24, 31 $80 Register online: www.ukelite.com Chess 4 Life Fridays 1:30-2:30 Grade K-5th 10 weeks: Sept 26 Oct 3,10,17,24,31 Nov 7,14,21 Dec 5 $125 Checks Payable to: NBE PTA PTA USE ONLY- Date Received ____________ Ck #__________ Ck Amount $_______________ Cash$_______________________ Checks Payable to: NBE PTA Checks Payable to: NBE PTA Checks Payable to: NBE PTA Total Classes:_______ Total Amount Enclosed:_____________