Horace W. Porter School

Club Requests


Please use this form to request a club you would like to facilitate.

Request Form:
Name:
Address:
Address Line 2:
City or Town:
State
Zip or Postal Code:
Phone:
Email:
Club Type: Please Describe:
Club Location:  at Porter
 Other Location: Please indicate:
Grade level(s):   1
  2
  3
  4
  5
  6
  7
  8
Session #:   1
  2
 
  4
Day Preference (choose 1):   Monday
  Tuesday
  Wednesday
  Thursday
  Friday
Other Days Available:   Monday
  Tuesday
  Wednesday
  Thursday
  Friday
Materials Needed:
Fingerprinting Completed at EastConn:   Yes     No* Fingerprinting needs to be completed before club starts.  
                  There is a fee that we will reimburse you for.
     
When submitted, the form is emailed to Alyssa Gwinnell, agwinnell@hwporter.org. If you do not receive an acknowledgement, please email directly. Thank you.