HOMEWORK CLUB ONLINE REGISTRATION

Faith Community Church, 1014 152nd Ct. E., Tacoma, 98445

Tuesdays, 3:00pm - 5:30pm

Bus transportation available from Elk Plain, Thompson, and Spanaway Elementary. Contact Bethel SD to request drop off at Homework Club.

Thompson & Spanaway Elementary: 253-683-5911

Elk Plain Elementary: 253-683-5912

 

Name 1 *
Name 1
Name 2
Name 2
Name 3
Name 3
Name 4
Name 4
Parent / Guardian 1 *
Parent / Guardian 1
Phone Number *
Phone Number
Work / Home Phone
Work / Home Phone
Parent / Guardian 2
Parent / Guardian 2
Phone Number
Phone Number
Work / Home Phone
Work / Home Phone
Student Address *
Student Address
Emergency Contact if you cannot be reached: *
Emergency Contact if you cannot be reached:
Phone
Phone
Others authorized to pick up your student(s):
Others authorized to pick up your student(s):
Photo ID required for pick up.
Phone
Phone
Phone
Phone
Please check the box next to each statement, that you have read, understand and agree to the following: *
By checking the above boxes and typing my name, I certify that all information on this form is true and correct. I also agree that the checkbox and my name typed below are to be used as my electronic signature.