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Enrichment Club Balance: 1 Student (One-Time Payment) - T/W/TH-12Dis

$32.50

Student School

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Student Age-Group

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Student Grade

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Student Last Name

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Student First Name

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Dismissal After School

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Dismissal After Club

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Can Student Manage In A Class Ratio Of 1:20 Without An Aid/Para?

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List Any Student Allergies (or N/A)

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Emergency Contact Full Name

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Emergency Contact Phone

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List Name And Phone Number Of Other "Authorized Pickup" Adults (or N/A)

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Acknowledgement 1:

I Acknowledge That Enrichment Masters Is Not A Childcare Provider (e.g. Aftercare Program)

Acknowledgement 2:

I Acknowledge That Enrichment Masters Does Not Store Nor Administer Prescriptions

Acknowledgement 3:

I Acknowledge That Enrichment Masters Does Not Have Accommodations (e.g. Teachers' Assistants) Available

Acknowledgment 4:

I Acknowledge That Parents And Students Must Adhere To The Conditions Outlined In The EM Parental Terms Of Agreement

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Product Details

This one-time payment covers any overdue Enrichment Club Class Balance from the FY24/25 school year.

NON-FUNDABLE ITEM

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Enrichment Club Balance: 1 Student (One-Time Payment) - T/W/TH-12Dis