Winter Shenanigans After School 2015
The Winter 2015 "After School" Shenanigans will include sessions on Wednesdays or Thursdays, from January 12 thru February 27. The cost is $75 per student. Scholarships are available! You can pay with PayPal on this form or you can pay cash or check at Shenanigans. Please see the website calendar for exact dates and times. Please "follow" our website/blog and Facebook for any updates! Complete one form for up to 3 students. Make sure you click the SUBMIT button at the end of this form! CAUTION: Using your "tab" key may skip some questions. Contact us anytime at shenanigansagain4u@gmail.com. THANK YOU!!
Full Name of STUDENT
*
First Name
Last Name
Age of Student
*
Which Day Will Student attend?
*
Wednesdays
Thursdays
School Student attends
*
Mazomanie Elementary
Black Earth Elementary
Wisconsin Heights Middle School
Wisconsin Heights High School
Home School
Other
Transportation of Student
*
Bus
Walk
Car
Other
Would you like to be considered for a scholarship?
*
Yes
No
Do you want to register another student?
*
yes
no
Other Student Section 1
Full Name of STUDENT
First Name
Last Name
Age of Student
Which Day Will Student attend?
*
Wednesdays
Thursdays
School Student attends
Mazomanie Elementary
Black Earth Elementary
Wisconsin Heights Middle School
Wisconsin Heights High School
Home School
Other
Transportation of Student
Bus
Walk
Car
Other
Do you want to register another student?
yes
no
Other Student Section 2
Full Name of STUDENT
First Name
Last Name
Age of Student
Which Day Will Student attend?
*
Wednesdays
Thursdays
School Student attends
Mazomanie Elementary
Black Earth Elementary
Wisconsin Heights Middle School
Wisconsin Heights High School
Home School
Other
Transportation of Student
Bus
Walk
Car
Other
End Section 2
Full Name of PARENT
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who will pick up student(s)?
*
Phone Number of Pick up Person
*
-
Area Code
Phone Number
PayPal Payment Option (If you prefer to pay by check, cash, or scholarship, UN-check this box and pay at Shenanigans.)
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Winter Shenanigans 2015
$
75.00
Quantity
1
2
3
Total
$
0.00
You will be officially registered as soon as you press the SUBMIT button below!! THANK YOU!!
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