Summer Registration 2019
Student Name *
Your answer
2019/2020 grade level *
Parent Contact Name (This will serve as an electronic parent signature) *
Your answer
Parent Email Address *
Your answer
Parent Contact Numbers *
Your answer
Mailing Address *
Your answer
Please list any health needs or special accommodations that we need to be aware of: *
Your answer
Transportation to and from SRHS in the morning and afternoon: *
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