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BEEP SUMMER REGISTRATION June 3-7 and June 10-14, 2019
Monday-Friday 9 a.m. to 11 a.m.
BEEP will be held at Bassett Grade School, 202 East Florence, Bassett, NE
Contact Amber Blessin at 402-684-3855 or email at
Mark the correct box for the grade your child is currently in at the end of the 2018-2019 school year.
4 year old PreK (entering Kindergarten Fall of 2019) OR Kindergarten
1st or 2nd grade
3rd, 4th or 5th grade
Parent Name/Contact Number
Emergency Contact and Phone Number
My child has special health/medication needs during 9a-11a classes. If yes, please explain. If no, leave blank.
I understand that attendance is voluntary, but will notify the school if my child is unable to attend at any point during BEEP.
Yes, indicates agreement with the above statement.
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This form was created inside of Rock County Public Schools.