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Summer Launch Registration 2021
Please complete this registration form for your student by May 13,2021
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* Indicates required question
Email
*
Your email
Student's First and Last Name
*
Your answer
Students grade/ homeroom teacher
*
Your answer
I agree that my child will attend DLA's Summer Launch program every day for all 4 weeks of the program June 1- June 30.
*
Yes
No
Other:
My child is re-enrolled for the 2021/2022 school year
*
Yes
No
Does your student need transportation?
*
Yes
No
If yes, please provide pick up address.
Your answer
If yes, please provide drop off address
Your answer
Parent's first and last name.
*
Your answer
Parent's phone number.
*
Your answer
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