Afterschool Enrichment Program

For Students Entering Grades K-8
September 1, 2021-October 1, 2021
2:45 to 6:00 p.m.

A snack will be provided.

Program includes homework support, enrichment learning opportunities, and fun activities for socializing with peers! Our September Enrichment Academy will be staffed by Everett Public School personnel.

SIGN UP BELOW!

Please fill out one form per student.

Your Student's First and Last Name(s)*

Answer Required

Your Student's 6-digit LASID Number (lunch number, or email number)

If you have this number

Answer Required

Parent/Guardian First and Last Name(s)*

Answer Required

Parent/Guardian Phone Number*

Answer Required

Parent/Guardian Email Address

Answer Required

Parent/Guardian Language Preference *

Answer Required

English

Spanish

Portuguese

Haitian Creole

French

Vietnamese

Nepali

Other

What Grade is Your Student Entering in 2021-2022*

Answer Required

Kindergarten

What day(s) are you interested in having your child attend the September Enrichment Academy?*

Select all that apply.

Answer Required

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

What hours are you interested in having your child attend the September Enrichment Academy? *

Select all that apply.

Answer Required

2:45 to 3:45 p.m.

2:45 to 4:45 p.m.

2:45 to 6:00 p.m.

What is your FIRST choice of location for the EPS September Enrichment Academy?*

Answer Required

Parlin School, 587 Broadway

Lafayette School, 117 Edith Street

Keverian School, 20 Nichols Street

Whittier School, 337 Broadway

Webster School, 30 Dartmouth Street

Madeline English, 105 Woodville Street

What is your SECOND choice of location for the EPS September Enrichment Academy?*

Answer Required

Parlin School, 587 Broadway

Lafayette School, 117 Edith Street

Keverian School, 20 Nichols Street

Whittier School, 337 Broadway

Webster School, 30 Dartmouth Street

Madeline English, 105 Woodville Street

Does your student have any allergies?

if you answer yes, the EPS will provide specific instructions and guidelines

Answer Required

Does your student have any specific dietary restrictions or needs?

if you answer yes, the EPS will provide specific instructions and guidelines

Answer Required

Does your student need any medicine administered during the after school hours of the September Enrichment Academy?

if you answer yes, the EPS will provide specific instructions and guidelines

Answer Required

Please fix the highlighted areas below before submitting.

Afterschool Enrichment Program