Extracurricular Activities Sign-Up Sheet

St. Luke's Academy

One (1) activities sign-up sheet per student.

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Fields marked with an * are required

Student Name

First

Last

Parent/Guardian's Email

Parent/Guardian's Contact Number

Class Currently enrolled in

I undertake to pay the full Term's fee on the first week of each activity as applicable

Permission is granted to the school and or the instructor to use images of my child on social media platforms and for promotional flyers.

Allergies

Additional noteworthy information pertaining to child’s physical or academic wellbeing pertaining to activities signed up for.

Permission is granted to seek medical assistance or for my child in the event they are in the need of medical attention.