After-School Club Registration Form

AGMS Spring Club Registration 2023-2024

The AG After-School Club registration fee is $40 per person per club. Check with Mr. Alexander for details about scholarships.

Cash, check, money order, and card payment are accepted for club registration. Preferred form of payment may be selected on the registration form.

> Online card payments are processed via PayPal or debit/credit card.
> Cash/check/money orders must be delivered to front office in envelope labeled “Clubs”.
> Make payable to AG PTO and include “Spring Clubs” in the memo line.

Student Name(Required)

First Last

Grade(Required)

Earn house points for joining a club!

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Club Choices:(Required)

Students may choose 1 or 2 clubs and pay a separate $40 fee for each selection.

Games Club: Mondays (3:45- 4:45PM) in Room 714 with Ms. Neumann

Science Club: Mondays & Tuesdays (3:45- 4:45PM) with Ms. Hardial in Room 603

Battle of the Books Club: Tuesdays (3:45-4:45PM) with Mr. Jacobs in the Media Center

Community Service Club: Tuesdays (3:45-4:45PM) with Ms. Hunt in the ISS Classroom

Debate/Public Speaking Club: Wednesdays (3:45-4:45PM) with Mr. Alexander in Room 713

Tabletop Roleplaying/D&D Club: Wednesdays (3:45-4:45PM) with Mr. Alexander in Room 713

Games Club

Price:

Science Club

Price:

Battle of the Books Club

Price:

Community Service Club

Price:

Debate/Public Speaking Club

Price:

Tabletop Roleplaying/D&D Club

Price:

PARENT/GUARDIAN CONSENT & ACKNOWLEDGEMENT

Parent/Guardian Signature(Required)

PAYMENT

NOTE: The AG PTO accepts cash, check, money order, or card payment for club registration.

Payment Type(Required)

*Please deliver cash/check/money order in an envelope labeled “Clubs” to the AG front office.
**Make payable to AG PTO and include “Spring Clubs ” in the memo line.

**You will be redirected to PayPal to complete the payment transaction upon submission of this form. Once you click Submit, there will be 2 options:

Select “Pay with PayPal” to pay using an existing PayPal account.
Select “Pay with Debit or Credit Card” to pay via debit or credit card.

PayPal – Select One(Required)

Your payment is securely processed by PayPal, Inc. which deducts approximately 3% as a transaction fee to cover credit card fees, bank fees, and other processing costs. Please consider chipping in an additional 3% so 100% of your payment goes to AG Middle School.

Pay 100% – Add 3% so that 100% of my payment goes to AG Middle School.

Pay 97% – I understand PayPal, Inc. will deduct 3% to cover transaction costs.

PayPal Fee

Price: $0.00

Total Due