Jumpstart Registration Form
Get a jump start on the 2020-21 school year! Join us for an exciting and fun morning exploring reading, writing, math and science – and know you’ll be ready for the start of the year.
Student First Name *
Student Last Name *
At which school does the student wish to take the Jumpstart classes? *
What grade will the student be in Fall 2020 *
Student's Address *
Student Phone Number (where student is most easily reached) *
Student Email Address *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Address *
Parent/Guardian Phone Number *
Parent Guardian Email Address *
Student Date of Birth *
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