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Student Registration-Summer School 2024
Please be sure to enter a valid email address. If you have multiple children that want to participate, please fill this out for each child. Here is a link to the 2024 Summer School Course Catalog. Thank you!
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Email *
Student First Name *
Student Last Name *
Parent Contact
The next questions will be about who is signing the student up for Summer School.  Only one parent name is needed.
Parent First Name *
Parent Last Name *
Street Address *
City *
State *
Zip Code *
Primary Phone Number *
Email *
Emergency Contact & Medical Information
Emergency Phone Number #1 *
Emergency Phone Number #2 *
Does Your Student Have a Life Threatening Condition? *
Describe Any Medical Concerns We Need to Be Aware Of
Does Your Student Need Medication Administered at Summer School? *
Student Service Needs
Is Your Student Learning English as a Second Language? *
Does Your Student Receive Special Education Services? *
Does Your Student Plan to Take Advantage of Free Breakfast While Attending Summer School? *
Does Your Student Plan to Take Advantage of Free Lunch While Attending Summer School? *
Student Grade for 2024-2025 School Year *
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