School  Group Registration Form

School Year 2009 - 2010

Please complete the information below. Any fields that are required will have a * indicated by the name of that field.

School Name*:  

Name of the person submitting this form/Contact Person*:  

Email address for the person submitting this form/Contact Person*:  

What are your school hours: School begins*:    School ends*:  

Grade level of students for this request*: 

Pre-Kindergarten Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11/12 Please select a grade level  

You must enter a unique identifier for each class:* ( use either - Teacher Name or Mod/Period Number or Room Number)  

How many students are in your class*? Please select the number of students in your class 10-15 16-20 21-25 26-29 30-32  

Program Request*: Click here for descriptions of 2009-2010 programs at Owens 

PLEASE NOTE THAT IF YOU MAKE MORE THAN ONE SELECTION FOR YOUR CLASS FOR THE YEAR, ONCE YOUR CLASS IS SCHEDULED, ANY OTHER CHOICES WILL BE VIEWED AS ALTERNATIVE CHOICES.

IF YOU NO LONGER SEE A PROGRAM LISTED UNDER A PARTICULAR QUARTER, THAT PROGRAM HAS BEEN FILLED AND IS NO LONGER AVAILABLE FOR REGISTRATION.

Special Needs Requierments*:

Dates that your students are not available during the quarter of the requested program: (In fomat XX/XX/XX)

AFTER SUBMITTING YOUR REQUEST, CLICK THE BACK BUTTON TO RETURN TO THIS SCREEN IF YOU WISH TO REGISTER MULTIPLE CLASSES.  YOU WILL ONLY NEED TO PUT IN DIFFERENT COURSES, GRADE LEVELS AND NUMBERS OF STUDENTS AS THEY APPLY FOR EACH SUBMISSION.