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MPMS VIRTUAL Summer School Book Club Registration
Student Registration Form. Please complete a form for each of your students.
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Student Last Name
Your answer
Student First Name
Your answer
Address
Your answer
Parent Home Phone Number
Your answer
Parent Cell Phone Number
Your answer
Name of Emergency Contact
Your answer
Home/Cell Phone Number of Emergency Contact
Your answer
Work Number for Emergency Contact
Your answer
Grade Level of your student - before they begin the new school year.
Choose
6th Grade
7th Grade
8th Grade
Parent: I understand that my student will only be meeting the teacher online in a Google Meet Session.
Yes
Clear selection
Parent: I understand that I will pick up a paper packet that includes the novel and other work materials, from MacIntyre Park Middle School on June 23rd or 24th from 8am - 10am.
Yes
Clear selection
Questions or Comments
Your answer
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