A Message from ESUMS Engineering After-School Enrichment

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ESUMS Engineering Enrichment 2015-2016 Registration Form

Welcome to ESUMS Engineering Enrichment 2015-2016!
All necessary information may be found here:
https://docs.google.com/document/d/1SVPa6qHI_AsHPa5rCUORZjd5G53OZGLuWBT7mawZipU/edit?usp=sharing
Please complete the Acknowledgement section at the bottom of the form and bring to the introductory meeting on September 22nd, 2015 from 2-3 PM in Mr. Lee's Engineering Lab (Room 121). If filling out and submitting a physical form, these will be provided at the first meeting.
Please contact me with any questions!
-Daniel Molster

* Required

What is your name? *

Parent/Contact

What is the student's name? *

Student in the program.

What Grade is your student in?

Current year.

o    [ ] 6th Grade

o    [ ] 7th Grade

o    [ ] 8th Grade

o    [ ] Freshman/9th Grade

What is your E-Mail address? *

The best to contact you at for progress check-ups, announcements, schedule change, etc.

Why do you want to join ESUMS Engineering Enrichment?

Any reason at all. :)

Is there anything I should know in order to help make the learning environment the best it can be for your child? *

Any suggestion/information is helpful! If nothing, put N/A.

Would you/your child be interested in participating in an Engineering Enrichment Skype call/Skype Group? *

If you don't have Skype, you can download it @ www.skype.com

o    [ ] Yes

o    [ ] No

o    [ ] Not interested/No Way to Use Skype

If you and your child have Skype, please leave it in this box.

I will add you on my Engineering Enrichment Skype account.

By submitting this form and checking this box you agree to enroll your child for the 2015-2016 school year. *

Class will take place Tuesdays from 2 PM-4 PM in Room 121. Students MUST be picked up no later than 4:05 PM.

o    [ ] I agree.