Ernest Becker MS

Symbolic Art adopts a zero tolerance policy to prevent bullying of any kind which includes cyber bullying. We take the safety of our children very seriously. Through strategic collaborations with our community partners we provide online and internet safety elements along with a youth empowerment program to educate young people about certain precautions to take both online and offline. We believe in providing useful information designed to help protect them from predators.

Welcome Back to School
"Becker Bighorns"

Becker Middle School students are invited to join us for fun-filled days of sports, recreation, online safety, and an assortment of indoor/outdoor activities that emphasize good sportsmanship, teamwork, individual enrichment, creativity and artistic expression. Symbolic Art inspires middle school participants to actively engage one another through positive social interaction and memorable experiences.

Since middle school is the launch pad for youth in preparation for higher learning - Symbolic Art is a great place to help fill in the gaps. Symbolic Art's after school program provides a space for young tweens to complete homework assignments, study, participate in creative arts & craft projects, showcase unique talents whether through dance, writing, singing or through one of our developmental fitness programs i.e. flag football, basketball or soccer.

Annual Registration (each child)

$25.00

Daily Rate (Becker Student)

$8.00

Weekly Rate (Becker Student)

$40.00

Symbolic Art encourages artistic expression and a love for learning at
Ernest A. Becker Sr. MS

Symbolic Art ... Where Cultures Connect

Becker Middle School is located at:
9151 Pinewood Hills Dr. Las Vegas, NV 89134

Symbolic Art's Learning Center is located at:
2402 N. Tenaya Way #205 Las Vegas, NV 89128

**PROGRAM REGISTRATION FORM *BECKER MS**
Please note that all fields followed by an asterisk must be filled in

* Indicates required field

Insert Child's Name *

First

Last

DATE OF BIRTH *

Name of School *

Insert The Name(s) of Sibling(s) "N/A" if Not Applicable *

Sibling(s) & Date of Birth N/A if Not Applicable *

NAME OF SIBLING'S SCHOOL "N/A" IF NOT APPLICABLE *

Allergies or Special Needs? N/A if not applicable *

How Did You Hear About Symbolic Art @Becker? *

Enrolling Parent or Guardian's Name *

First

Last

Enrolling Parent's Email *

Enrolling Parent's Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Insert Work Phone *

Insert The Name & Phone Number To Receive Text Messages *

Insert Emergency Contact Information *Include: Name, Relationship & Phone Number *

Insert Name(s) of anyone other than parent, guardian or emergency contact who may pick up Child(ren) *

Fee Disclosure*

An 'annual' registration fee: $25 is required for each new participant enrolled in Symbolic Art programs; Symbolic Art fees can be made: Daily or Weekly *Symbolic Art participants are eligible to attend "Free" online and internet safety workshops throughout the week. *Enrollment fees are non-refundable in the event participant is absent from the program. Payments may be made in cash, money order, Paypal or credit card. Payments will only be accepted from adults listed on this form.
A $10 late fee will be assessed for each :15 minutes past 6:30 p.m. (e.g. 6:45 pm / pick up = +$10)

AGREE AND CONSENT *