Fall After School Programs Registration Form
TO REGISTER FOR A PROGRAM: Please complete the form, scan it and return it to info@newtonsgroveschool.com. For payment, please send an e-transfer to jmathura@newtonsgroveschool.com with the subject line “Fall After School Program” or mail a cheque payable to Newton’s Grove school. Full payment is due at the time of registration. All payments are non-refundable.
Please indicate all program registrations by checking the boxes below MONDAYS
WEDNESDAYS
4PM-5PM: Martial Arts (GR 5-8)
$250
4PM-5PM: Chess (GR 6-8)
$250
4PM-5PM: STEM (GR 1-5)
$250
4PM-5PM: Dance: Bollywood (GR 1-5)
$250
5PM-6PM: Basketball (GR 3-8)
$250
THURSDAYS
TUESDAYS 4PM-5PM: Chess (GR 1-5)
$250
4PM-5PM: Video Game Development (GR 5-8)
$250
5PM-6PM: Soccer (GR 1-5)
$250
4PM-5PM: Lacrosse (GR 1-5)
$250
4PM-5PM: Dance: Zumba (GR 4-8)
$250
FRIDAYS 4PM-5PM: Pickleball & Court Sports (GR 1-8)
$250
PROGRAM DAYS, START AND END DATES MONDAY PROGRAMS
TUESDAYS
WEDNESDAYS
THURSDAYS
FRIDAYS
SEP 23-NOV 25
SEP 24-NOV 12
SEP 25-NOV 13
SEP 26-NOV 21
SEP 27-NOV 22
Student
Date of Birth
Parent/Guardian
Telephone
Address Email
Emergency contact
Relationship
Telephone
Drug allergies
Health card
Medications
Grade in Sep 2024
Total Fee
Signature of parent or guardian
newtonsgroveschool.com
416.745.1328
6850 Goreway Drive, MIssissauga, ON, L4V 1V7