Fall Quarter Sign-Up 2017
Due September 7, 2017 - Space is limited
Please check the dates to be attended. You may pick as many or as few dates as you like, but participant is expected to attend every date chosen on the sign-up, barring extenuating sircumstances. Please call programs in advance if unable to attend.
Culinary Arts @ Grace UMC, 3012 Twyckenham Dr.- South Bend
Creative Arts @The Beacon, 4210 Linconway West, South Bend, IN
Wednesdays 5:00 pm - 7:00 pm
Bowling League @ Strikes & Spares, 5419 Grape Rd. Mishawaka, IN
Active Community Days! Check the dates that you would like to attend
Saturday Fun Days! Check the dates that you would like to attend
Time: 10:00 a.m. - 12:00 p.m.
PROGRAM CELL PHONE #574-300-8194 - Please make note and use this number when you child is ill or unable to attend the programming for which they are registered. If no one answers your call, please do leave a message.
Payment Plans - Limited Financial Aid is available.
"A Place To Be Me" programming by Children's Dispensary has a responsibility to all our program participants. If at any time an individual participant is struggling within the program parameters, i.e., activity participation or a disregard of authority, we will call a Care Conference to determine a workable solution that best serves the individual, other participants and the program
NOTE: Your form will not be eligible for submission without agreeing tot the above statement.
At no time will we dispense medication during our programs.
NOTE: Your form will not be eligible for submission without agreeing to the above statem
1) Please note your total cost listed below. If you are paying with a credit card enter this amount in the box indicated above MAKE A PAYMENT
3) Enter total into the PAYMENT field below and Click on MAKE A PAYMENT