2017 MASD Eagleville E3 Student Registration Form
Believe it or not, summer school is just around the corner! Eagleville's E3 Session will be held June 12-15. This year, families will have the choice of a morning (8:00-11:00am) OR afternoon session (12:30-3:30pm) at Eagleville.

PLEASE NOTE: Grade 6 will NOT be included in the elementary program. Grade 6 will be offered as part of the middle school program, which will be a separate registration at a later date. Details will be forthcoming.

To register for E3, please fill out the application below by April 13, 2017 A confirmation e-mail will be sent in May.

A separate registration form must be completed for each student in a family who is enrolling in summer school. Also, if you wish to register for regular district summer school at Clarendon or Big Bend go to https://goo.gl/SYxnsS.

If you have any questions, contact Ben Kossow at kossobe@masd.k12.wi.us.

See you this summer!

Student First Name
Your answer
Student Last Name
Your answer
Current School
Current Grade
Parent First Name
Your answer
Parent Last Name
Your answer
Parent E-Mail Address
Please note: This email address will be our primary method of communication for summer school information! Be sure to use a current email address. This email address will not be shared with any third-party companies.
Your answer
Parent Phone Number
This number should be the primary way you would like to be contacted by phone. (We recommend a cell number.)
Your answer
Emergency Contact Name
The emergency contact information your child's school has during the regular school year will be in effect for summer school. Please enter a contact and phone number below if you wish to designate an additional emergency contact specifically for summer school.
Your answer
Emergency Contact Phone Number
If you are designating a specific emergency contact for summer school, please include a phone number where we can reach them. We recommend a cell number.
Your answer
Which Eagleville summer session will your child attend?
Sessions will be Monday, June 12, through Thursday, June 15. Morning sessions will be 8:00-11:00 and afternoon sessions will be 12:30-3:30. Students may only be registered for ONE session at E3.
Are you a Mukwonago Area School District resident?
Please Note: Non-residents are charged to attend summer school.
Required
Other Comments:
Please share any other information that may help us in planning a positive summer school experience for all students.
Your answer
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