Shenanigans After School Winter 2015

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
Transportation of Student *

Bus Walk Car
Would you like to be considered for a scholarship? *

Yes No
Do you want to register another student? *

yes no

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

Total $ 0.00
You will be officially registered as soon as you press the SUBMIT button below!! THANK YOU!!
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Winter Shenanigans After School 2015