2017 Waupaca School District Summer School Hunter Safety
To register you must be born before October 1st, 2005

Use this form to register for Hunter Safety Classes

***You must be born before October 1st, 2005 to enroll***

$10.00 fee Payable to Waupaca School District/ Print and fill out "Permission Form" bring first day of class(located
in course description).

Session 1 Monday, June 12, 2017 - Friday, June 16, 2017 8:00am - 12:00pm

Session 2 Monday, June19 , 2017 - Friday June 23, 2017 12:30pm-4:30pm

Session 3 Monday, June 26, 2017 - Friday, June 30, 2017 5:00pm-9:00pm**NO LONGER AVAILABLE*****

***** PLEASE NOTE*****
Registrations are time stamped. If more than one registration is submitted for a student - the system will register the most current registration. The other will be discarded. If a class does not appear in a drop down menu - the class does not take place at that time or the class is full. Questions regarding summer school email pschroeder@waupacaschools.org

Obtain a DNR Customer ID # by searching “Go Wild” on the internet. Complete the process to receive your DNR Customer ID #. Record below.
Your answer
Student's Legal Last Name
Your answer
Student's Legal First Name
Your answer
Student's Date of Birth
Your answer
Street Address
Your answer
City, State, ZIP
Your answer
Local Address (if different than above) Address, City ZIP
Your answer
Parents/ Guardians' Name
Your answer
Local Phone
Home or cell
Your answer
Phone number where parent can be reached during the day.
Your answer
Parent/Guardian Email if applicable
Your answer
Is your child Hispanic or Latino?
This is needed for state reporting.
Is your child (Choose one or more)
This is needed for state reporting.
Required
Does your student have any medical or health concerns?
Medical / Health concerns:
Your answer
School attended during 2016-2017
Grade attended in 2016-17
What grade was your child in this last year?
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