CLEMENTE MS
SPRING 2014 ACTIVITY SIGN UP SHEET
March 17 - May 22
March 6 at 3:00PM is the deadline to turn in BOTH sides of this completed registration to the EBB mailbox in the main office.
Registration forms are randomly selected. The activities you select below determine your program placement.
Student’s Name (Last, First) _______________________________________________________________________________
Student ID# ______________________________________________________________ Grade _____________________
I will be participating in a school based program or club (EDP, Sports, Yearbook, etc.) on:
☐Monday
☐Tuesday
☐Wednesday
☐Thursday
If you are in EBB and are taking a school based activity until 4:15, you must sign up for a 4:15-5:15 EBB class.
CHOOSE EITHER 1
MONDAY
2:45-3:15
3:15-5:15
1
2
2
4:15-5:15
TUESDAY
Hot Supper
Hot Supper
__ClancyWorks Dance: ASPIRE __Young Chefs:Cooking
__AOB: Arts and Crafts
__STEM: Electronics Lab
__Investigating Electricity
__Total Girl
4:00-415
3:15-4:00
3:15pm-5:15pm block
DIRECTIONS
OR 2 3:15pm-4:00pm & 4:15pm-5:15pm blocks (select 1 program from each block)
Snack
Snack
WEDNESDAY
THURSDAY
Hot Supper
Hot Supper
__AOB: Mosaic Making
__Let’s Cook
__Red Sprinkle Fashion
__Young Chefs:Cooking
__Leading Ladies
__BRC: From Canvas to Art Show
__STEM: Robotics
Snack
Snack
__Kidz Kitchen
__Shooting Stars (A)
__Hoop ED: Soccer
__Shooting Stars (C)
__Taste And Move
__Shooting Stars (G)
__Hoop ED: Team Sports
__So What Else?:
__BRC: Ballet
Rhythm & Harmony Dance
__Shooting Stars (E)
__Taste And Move
__Environmental Sustainability
__Kidz Kitchen
__Shooting Stars (B)
__Hoop ED: Soccer
__Shooting Stars (D)
__Taste And Move
__Hoop ED: Team Sports
__Shooting Stars (H)
__BRC: Ballet
__So What Else?:
__Shooting Stars (F)
Rhythm & Harmony Dance
__Environmental Sustainability
Please Select One:
☐ Ride the activity
bus at 5:25
☐ Walk home
☐ Parent/Guardian
will pick up at 5:25
☐ Public Transportation
ACTIVITY BUSES LEAVE EACH DAY AT 5:25.
If you have any questions, please call Seantae Jones at 240-478-1412.
Official Use: Received:______________
Montgomery County Government is committed to compliance with the Americans with Disabilities Act (ADA).
To facilitate inclusion, interpreters, large print or Braille auxiliary aids and/or services should be requested at the time of registration.