Virtual Enrichment Camp Application
This form is for parents to fill out to show interest in the free 21st Century Grant After School program. Filling out this form does not guarantee students are in the program. Parents will receive an email with detailed information if students are accepted. If you have any questions or concerns, please feel free to email Mrs. Shepherd at
Email *
Student First Name *
Student Last Name *
Student's Grade Next Year: *
Teacher recommendations are required for consideration to the Virtual Enrichment Camp. Please name at least one teacher who would recommend the student for this camp based on grades, work ethic, and attendance. *
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