Tuesday, 22 January 2013

Sample Homework Club Form

Dear Parent(s)/Guardians,

We have help for your child if they are struggling in any subject area, our generous teacher volunteers are there to help your child succeed! 

You can request for your child to be referred to homework club through any teacher.

Homework Club Referral Form


Homework Club is available for students on Tuesdays and Thursdays in Room 110 (2:40 until 4:00).


Student Name
Subject Staying For



Student will attend Homework Club on (Date)



Student will attend Homework Club for: (Please attach or send details of assignment)



Make-Up Assignment

Class Project/Assignment
Test Preparation/Review
Quiz Preparation/Review



Homework Club Phone Number: 519 – 256-3171 ext. 13