JATC South Summer Ag Registration Form
JATC South is excited to offer their Summer Ag program again this summer. Upon successful completion of the Summer Ag program students will earn .25 CTE or elective credit. Students will be required to complete 32 hours of work over the course of the summer at the JATC South Greenhouse and Gardens. Students who will be in grades 9-12 for the 2017-2018 school year are eligible to participate. Students who have participated in the past are also eligible to participate.

Summer Ag will begin on Tuesday, June 27, 2017 and run through Friday, August 11, 2017. Hours of activity will be from 8am-Noon, Monday-Friday, except holidays. Students will be asked to provide a calendar of dates in which they plan to attend Summer Ag. This helps the instructors plan their schedules and Summer Ag Activities activities. Date are flexible to accommodate summer vacations, camps, work schedules, etc.

If you have any questions please contact Brett Milliken at brett.milliken@jordandistrict.org

First Name
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Last Name
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Student Number
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What school do you currently attend?
What school will you be attending next school year?
What is your email address?
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What is your phone number?
(801) 412-1300
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What is your home address?
ie. 12723 Park Avenue Riverton, Utah 84065
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Gender
Are you a Special Education/Resource Student?
Are you currently receiving English Second Language (ESL) Services?
Emergency Contact Name
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Emergency Contact Phone Number
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Emergency Contact Email
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