Extracurricular Activity Selection Form
Please complete the Extracurricular Activity Selection Form to choose your preferred activities for the upcoming term. All selections are subject to availability.
Student Full Name
*
First Name
Last Name
Grade / Class
*
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Select Extracurricular Activities
*
Art Club
Music Band
Drama/Theater
Robotics
Chess Club
Sports Team
Debate Club
Community Service
STEM Club
Other
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Comments or Special Requests
Submit Selection
Should be Empty: