2017 MASD Elementary Summer School Student Registration Form
Believe it or not, summer school is just around the corner! Regular District Elementary Summer School will be held 4 Weeks June 19-22, June 26-30, July 5-7 (Please note: no school July 3-4, but school will be in session Friday, July 7), and July 10-13 -- 8:00 a.m. - Noon.

Parents have their choice of Big Bend Elementary or Clarendon Avenue Elementary.

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 Elementary Summer School, 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. If you wish to register your child for Eagleville's E3 summer school program, please go to https://goo.gl/OYAHhw.
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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
If your child attends a
Your answer
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 summer school site will your child attend?
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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