21st Century Parent Consent Sheet Dear Parents and/or Guardians,Erie Rise is continuing its 21st Century after school program for the 2020-2021 school year and your child has been selected to participate. The program will start on Monday, July 13th 2020, and run from 4pm-6pm. For the summer session, this will be done digitally. Upon return to the building, transportation and snacks will be provided. The 21st CCLC program provides academic assistance to help students become successful, independent learners. The program will include mandatory activities such as homework time, tutoring, and PSSA prep. There will also be extracurricular activities such as basketball, dance, yoga, Tae Kwon Do. STEM study, and opportunities to explore art. Please consider this opportunity for your child! Complete the attached student information page and return to Erie Rise by Friday, July 10th 2020. Sincerely, Mrs. Bridgett, 21st CCLC Director Aubrey Favors, Interim CEO Participate:*Would like your child to participate? YES, I would like my child to participate. Child’s Name:* First Last Teacher&Grade:* Teacher: Grade: Parent Name:* First Middle Last Home Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent Phone Number:CAPTCHA Δ
