Lafayette Enrichment Program Registration & Permission Slip

LAFAYETTE Elementary
AFTER SCHOOL ENRICHMENT PROGRAM

Creative IQ has partnered with Lafayette Elementary's After School Enrichment Program, offering Pick up and Drop offs for your children between Lafayette Elementary School and Creative IQ Art Studio for our after school art classes.
If you are interested in this service for your child please fill in both the registration form below and download the PDF permission slip below to sign and return to Creative IQ by email, mail or in person.

NOTE: WE MUST RECEIVE YOUR SIGNED PERMISSION SLIP BEFORE YOUR FIRST PICK UP/DROP OFF OFF CAN BEGIN

REGISTRATION
(FOR LAFAYETTE SCHOOL PICK UP &/OR DROP OFF STUDENTS ONLY. Others register here.)

* Indicates required field

1. Students Name *

First

Last

Age *

Grade *

Gender *

Check All That Apply *

Pick Up Drop Off None of the above.

Homeroom Teacher's Name *

Classroom Number *

After School Program (if applicable) *

Requested Class/Camp/Party/Workshop *

Season Starting (Summer, Fall, Winter, Spring) *

Student #2 Information: Complete this section when registering more than one student within the same family. Ask about our sibling & family discounts!

2. Student #2 Name *

First

Last

Age *

Grade *

Gender *

Check All That Apply *

Pick Up Drop Off None of the above.

Homeroom Teacher's Name *

Classroom Number *

After School Program (if applicable) *

Type In: Requested Class/Camp/Party/Workshop *

Season Starting (Summer, Fall, Winter, Spring) *

Parent/Guardian Information

Parents/Guardians Name (students over 18 years old, enter your name) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email Address *

Cell Phone *

Home Phone *

Work Number (optional) *

Check Best Contact Number *

Cell Home Work

Comments or Questions *

How did you hear about Creative IQ? *

Submit

PICK UP/DROP OFF PERMISSION SLIP
(FOR LAFAYETTE SCHOOL PICK UP &/OR DROP OFF STUDENTS ONLY)

Lafayette Pick Up & Drop Off Permission Slip
File Size:	420 kb
File Type:	pdf

Download File

PLEASE SIGN AND RETURN YOUR PERMISSION SLIP BEFORE YOUR 1ST SCHOOL PICK UP/DROP OFF.
WE MUST RECEIVE YOUR SIGNED PERMISSION SLIP BEFORE YOUR FIRST PICK UP/DROP OFF OFF CAN BEGIN.

LAFAYETTE Elementary AFTER SCHOOL ENRICHMENT PROGRAM

REGISTRATION(FOR LAFAYETTE SCHOOL PICK UP &/OR DROP OFF STUDENTS ONLY. Others register here.)

Parent/Guardian Information

LAFAYETTE Elementary
AFTER SCHOOL ENRICHMENT PROGRAM

REGISTRATION
(FOR LAFAYETTE SCHOOL PICK UP &/OR DROP OFF STUDENTS ONLY. Others register here.)