Summer Learning Program 2018 Student Consent Form
Welcome to the 2018 Summer Learning Program registration page! The Summer Learning Program runs from Tuesday, July 3 to Friday July 20, from 9:00 a.m. to 12:00 p.m. There are multiple sites and you will be asked to identify the site closest to your current school. Students currently in Year Two (Senior) Kindergarten and currently in grades 1 - 4 in a Hastings Prince Edward District School are eligible for the program.
Please fill out this form for registration purposes. Complete this form for each child you are registering. If you have any questions please speak to the Principal of your current school.
Email address *
PART I - STUDENT INFORMATION
To be completed by parent(s)/guardian(s)
Student's Name *
Your answer
Gender
Date of Birth *
MM
/
DD
/
YYYY
Current HPEDSB School *
Your answer
Grade Completed (2017-2018 School Year) *
2017-2018 Teacher
Your answer
Relevant Health Information (e.g., allergies, medications, medical conditions) *
Your answer
Which Summer Learning Program Site will you attend? *
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