2017 Math Club Pre Registration Form

2017 Math Club Pre Registration Form 9/14-6/14 (Wednesdays 4:00 pm - 5:30 pm) All Grades @ Enterprise Charter School This is considered PRE-REGISTRATION only and does not guarantee a spot in the program.
  • Child Information

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  • Permission & Release Statement

    I grant my child permission to participate in the 2017 WILLIE "HUTCH" JONES EDUCATIONAL & SPORTS PROGRAMS and confirms the truth of the above statements. This waiver releases the WHJESP and it's sponsors from any law suits or claims from accidents or injuries. This also gives us permission to use your child's image on our website or any promotional advertisements. This application may be presented on site of any Clinic location and your child may be registered. Due to limited enrollment you may only choose two areas of our program that are available. Contact our office at (716) 715-4980 for locations and general information.
    By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

Platinum

Trish Hamlin & Foundation

The Tower Foundation

Gold

 

 

Silver

Copper

Bronze

Verizon, Hopewell Baptist Church, Phi Omega Scholarship Foundation

In Kind Service Providers: Laux Sporting Goods, Buffalo, 1490 Enterprise

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Contact Us

Willie D. Jones Jr. PhD CEO

Mykia LaNae Gibson Program C.O.O.
716-715-4980

Nicole Robinson Site Manager
716-715-4980

Aswad Jones Program Director
716-715-4980