Friday Classes Forms

Friday Class Enrollment Forms

Click here for the 2005-2006 school year forms.

Cornerstone Family School
Student Registration
Friday Classes

Student Name Grade/Level

___________________________________________ ______________

___________________________________________ _______________

___________________________________________ _______________

___________________________________________ _______________

___________________________________________ _______________

___________________________________________ _______________

___________________________________________ _______________

___________________________________________ _______________

Please complete and return all 3 forms, ASAP

On or before Sep 1 to:
Tammy Poage
3401 SW Alameda Dr
Topeka, KS 66614

Cornerstone Family School
Friday Class Volunteer Form

Class Dates

Fall Term -- September 10-November 19, 10 weeks
Oct 1, Field Trip Skip Oct 22 for Speech Contest Nov 12, Field Trip
Winter Term -- January 7-March 11, 10 weeks

As a parent of a student(s) enrolled in Friday Classes you will be required to either assist or teach for your children to particpate. You may choose a combination of teaching and assisting if desired.
Select by marking over class number with a T for teach or an A for assist where you will volunteer in the charts below, to assist on 10 Fridays or mark to teach for 4-6 Fridays for 2 hours (mark T2) or teach 8-10 Fridays for 1hour (mark T1). The larger your involvement the better everyone's experience.
There will be a variety of classes and activities offered by the participating parents and others.
One of your high school students may assist or teach. One of your high school students may assist or teach in your place.

Fall Term

Week #
Nursery 1 2 3 4 5 6 7 8 9 10
Kg 1 2 3 4 5 6 7 8 9 10
Grade 1-2 1 2 3 4 5 6 7 8 9 10
Grade 3-5 1 2 3 4 5 6 7 8 9 10
Grade 6-8 1 2 3 4 5 6 7 8 9 10
High School 9-12 1 2 3 4 5 6 7 8 9 10

Winter Term

Week #
Nursery 1 2 3 4 5 6 7 8 9 10
Kg 1 2 3 4 5 6 7 8 9 10
Grade 1-2 1 2 3 4 5 6 7 8 9 10
Grade 3-5 1 2 3 4 5 6 7 8 9 10
Grade 6-8 1 2 3 4 5 6 7 8 9 10
High School 9-12 1 2 3 4 5 6 7 8 9 10

FRIDAY CLASSES CONSENT FORM

This form must be in the possession of the Friday Class Coordinator before the student will be allowed to participate in classes. The parent is responsible for keeping the coordinator informed of health situations.

I, being the parent/guardian of the below listed child(ren), do hereby authorize, request, and give my permission for my child(ren) to be treated by any physician, and/or medical facility while attending any Cornerstone Family School Friday Class function, as I may be unable to give my permission due to my absence or the inability of being contacted by a physician or medical facility.

I, also hereby give permission for a parent licensed driver to transport my children when needed to participate in field trips as part of Friday classes.

Child's Name, Birth Date, Allergies, Medical conditions, special needs

Hospital Preference__________________________________ Physician____________________________

Parent/ Guardian Signature_____________________________________________

Today's Date_________________(required)

If guardian, please state relationship to student(s)__________________________________

Address _____________________________________

_____________________________________

_____________________________________

Home Phone __________________________ Work Phone ___________________________

Cell Phone if available _____________________________

Emergency Contact name and phone number:

_____________________________________________________________________________________