Willard Summer Discovery Student Enrollment Form K-8th Grade

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Summer School Dates: June 5th - June 30th
Summer School Time: 7:30 a.m. -2:00 p.m.

Information: If you have a student that will attend Summer Discovery in grades K-8, please complete this form. If you would like to register your child for Summer Discovery in grades 9-12, please contact a counselor at the high school.

*If you need to enroll more than one student, please complete a separate form for each student.

PARENT/GUARDIAN NAME (First and Last) *

PARENT /GUARDIAN CELL PHONE NUMBER *

PARENT/GUARDIAN EMAIL ADDRESS *

STUDENT'S NAME (First and Last) *

What GRADE will the student enter NEXT YEAR? *

What SCHOOL did your student attend this year? *

What is the last name of the student's HOMEROOM TEACHER this year? (Write none if they were not in school yet.) *

Does your student receive SPECIAL SERVICES? *

Yes, 504

Yes, IEP

No.

If given the choice, which Summer Discovery SITE would you prefer your student attend? *

Orchard Hills Elementary (K-6)

North Elementary (K-6)

Grades 7-8 will be hosted at WMS

*STUDENTS NOT CURRENTLY ENROLLED IN WILLARD must have this document on file to attend Summer Discovery. Please complete this document and either (1) upload the document here or (2) bring/send a completed document to the Willard District Office (500 Kime St, Willard, MO 65781). Click here for form

Option 1

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