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JEB June 2021 Summer Adventure Registration
Please only fill out this form if you are interested in your child attending summer school. Your child MUST be a Kindergarten - 8th grade student for the 21-22 School Year (incoming preschool students may not attend summer school). Fill out one form for each child attending summer school.
* Required
Email address
*
Your email
Student's Name
*
Your answer
Grade for the 21-22 School Year
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Will your child(ren) need transportation?
*
Yes
No
If yes, please provide AM pick up address
Your answer
If yes, please provide PM drop off address
Your answer
Does your child have any medical concerns
*
Yes
No
If you answered yes to the above question, please explain below.
Your answer
Parent(s)/Guardian(s) Names
*
Your answer
Phone Number
*
Your answer
Address (where the child sleeps at night)
*
Your answer
Send me a copy of my responses.
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