Sacred Heart School

Hartsdale, NY

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Registration - Winter/Spring 2020

- Student Life

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- Date REQUIRED Please fill out this field. Please enter a date.
- STUDENT INFORMATION (one child only please)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade level REQUIRED Please fill out this field.
- Parent Contact REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- The above phone number is: REQUIRED Please fill out this field.
- Parent Email REQUIRED Please fill out this field. Please enter an email address.
- Please enroll my child in the following course(s): LEGO Robotics (Gr. 2-8) - $125 Flag Football (Gr. 4-8) - $125 Lunchtime Chess (Gr. 1-8) $125 per student Coding (Gr. 2-8) - $125 Volleyball on Thursdays (Gr. 6-8) $125* The Wizard of Oz CAST - Munchkins (Gr. 1-5) - $100**
- * Volleyball - additional fees will be charged throughout the program for uniforms, sweathshirt, referee dues, etc.
  
  ** Practice for munchkins will be limited. Munchkins will be required to be at all practices the week of March 30th. You will receive a schedule via email of when practices will be held.
- Will your child be going to the after school program following the class? (additional fees will apply) REQUIRED Please fill out this field.
- Person to contact in case of emergency:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- I agree to make payment ( check payable to Sacred Heart School) no later than Thursday, October 10, 2019. I understand that if a program is cancelled, I will receive a refund in the same form of payment that was made (check).
  I Agree Please select this field.
- If your child participates in a course but cannot attend on a specific day, you must notify the school office at 914-946-7242, or via email at crivera@shshartsdale.org. REFUNDS WILL NOT BE ISSUED FOR MISSED CLASSES.
  I Agree Please select this field.
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Sacred Heart School

Hartsdale, NY

Registration - Winter/Spring 2020

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