Nope this is the old one.  You need this link for Fall 2019 Tuesdays and Fridays: https://forms.gle/2p46dxBu24UvTPjg6
Nope this is the old one.  Click here for Fall 2019: https://forms.gle/2p46dxBu24UvTPjg6

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Email *
Student First Name *
Student Last Name *
Grade Level -- if you already filled this in for summer or fall you can skip down to the dates.
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Current School or Collaborative
Parent/s, Guardians, Backups Names
Phone numbers
Any allergies, conditions or situations you'd like us to be aware of?
Primary Care Physician name, and office.
Tuesday 3:30-5:30, January 8, 2019
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Tuesday 3:30-5:30, January 15
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Tuesday 3:30-5:30, January 22
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Tuesday 3:30-5:30, January 29
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Tuesday 3:30-5:30, February 12
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Tuesday 3:30-5:30, February 19 (during school vacation so depending on interest)
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Tuesday 3:30-5:30, February 26
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Tuesday 3:30-5:30, March 5
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Tuesday 3:30-5:30, March 12
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Tuesday 3:30-5:30, March 19
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Tuesday 3:30-5:30, March 26
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Tuesday 3:30-5:30, April 2
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Tuesday 3:30-5:30, April 9
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Tuesday 3:30-5:30, April 16 (depending on interest during school vacation -- low tide mud)
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Tuesday 3:30-5:30, April 23
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Tuesday 3:30-5:30, April 30
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Tuesday 3:30-5:30, May 7
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Tuesday 3:30-5:30, May 14
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Tuesday 3:30-5:30, May 28
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Tuesday 3:30-5:30, June 4
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Tuesday 3:30-5:30, June 11
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Tuesday 3:30-5:30, June 18  
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Tuesday 3:30-5:30, June 25
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Tuesday 3:30-5:30, July 2
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I hereby give permission for my child to participate in all CSCR activities including transportation. In the event of an emergency, I as the parent or guardian, understand every effort will be made to contact  me/us, using the phone numbers and emails above, while prioritizing getting 911 services. In the event we cannot be reached, I/we hereby give permission to the physician selected to secure proper medical treatment which may include hospitalization, anesthesia, surgery or injection of medication for my/our children. I/we do for my child, myself, and our personal representatives, family, heirs and assigns, knowingly and freely waive all claims against and release and discharge CSCR and its officers, directors, agents, employees and volunteers from any and all liability, loss, damage and expense which may result from participation in CSCR programs. CSCR reserves the right to photograph CSCR participants for publicity purposes. *
Thank you!  Susan prefers email susangbryant@yahoo.com for non-urgent arrangements and registration questions. Please add her phone number 857-231-1768 to your contacts. If you need us while on an expedition, please both text and call repetitively (since otherwise we would be disregarding calls when with students). Our location will always be on the log-out sheet, next to the door at CSCR. Please count up the number of sessions you registered for and multiply by $32.50.  If this form is for the second student, multiply by $27.50 instead. Write a check to CSCR with Junior Program in the memo line or use the "other donation" amount on our  payment form at http://ccscr.org/OnlineDonationsForm.aspx to jump to paypal. And then be sure to click the submit button below -- or it won't enter.
Once again no professional IT consultants were harmed in the making of this document, so please let me know if it doesn't work, or if you have expertise to lend.

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