Wufoo

Summer Enrichment Program Registration

Name of Student * First Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
School and Grade Attended, 2007-2008 *
School Attending, September, 2008 *
Parent or Guardian's Name *
Home Phone *
Cell Phone
Work Phone
E-mail address
Courses: Some sections are two week courses. The first session runs from July 7 to July 18. The second is from July 21 to August 1. Please indicate first or second session when applicable.
Period One 8:30 to 9:20
Period Two 9:25 to 10:15
Period Three 10:30 to 11:20
Period Four 11:25 to 12:15
Amount to be sent:
Please send a check within a week of registration, payable to Wyckoff Board of Education. Thank you!

Checks should be mailed to:
Wyckoff Summer Sizzlers
June Barchenko
325 Mason Avenue
Wyckoff, New Jersey 07481

Be sure to include child's name, session and courses.
Check amount should include tuition and materials fees.
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