Winter PTO Student Clubs

January 20 - February 24
Every Tuesday 3:30-4:30
Are you looking for something fun to do after school on Tuesdays? Well, have we got the Club
activities for you!! The following clubs will be meeting once per week for this 7 week session.
You can only register for one club, however please label a first and second choice in case your
first choice is not available.
Chess Club

_______ I would like to register for this club. (Space limited 16 students)

Drama Club _______ I would like to register for this club. (Space limited 24 students)
Big Foot Club _______ I would like to register for this club. (Space is limited to 12 students.)
(Students should not have participated in this club before.)
Through the Lens (Columbias TV News Program) _______ I would like to register for this club.
(Space limited to 12 6th graders)

Student Name ______________________________________________

Homeroom Teacher __________________________________________
Parent Contact Information (Phone)
(Email)

_____________________________________________
_____________________________________________

Parent Signature for Permission to attend ___________________________________________

My Child will need to ride the activity bus home. ______
Address required for activity bus. __________________________________________________

Return your completed form to the CIS Office by January 12th!!

Columbia Intermediate ...Be Nice Out There!!