Cole School PTO

Enriching the Cole School Experience

81 High Street Norwell, MA 02061 info@norwellpto.org

CASP Registration Form
Student's Name
Grade
Bus/YMCA
Teacher

Program Choices (list in order of preference)2 or more courses will be assigned only if space allows.Please type"and -or" so that we know if you would like one or more classes, if available.
AND - OR
AND - OR
AND - OR
Please send fee into school by September 28. Please make check(s)payable to the Cole PTO and include seperate checks for each program you are registering for. All applications must be submitted by noon, Thursday, September 28 2006.
Name
Address
Phone:(home/work/cell)
EMERGENCY CONTACT: (between 2:45 and 5:00 p.m.)
Name/Phone
Name/Phone
Please note allergies/medications/special needs:
I agree to allow my son/daughter to participate in the above C.A.S.P. activities. I understand that some activities have inherent risks and I hereby absolve the Cole PTO, its representatives, and the program instructors/ volunteers from liability in the event of accidental injury to my son/daughter.	Signed/Date
We reserve the right to cancel offerings if insufficient interest is present. If you have any questions please email us at CASP@norwellpto.org