Maumee City Schools "Summer Blitz" Registration

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Thank you for your interest in having your child attend "Summer Blitz"!

NOTE: As of May 26th, we can no longer accept registrations for students going into grades 7th, 8th, or 9th grade. We are full.

Payment is due upon completion of this form. Once your online registration and payment is received, the spot is reserved. You will receive a confirmation email.

Questions about registration or other program questions can be directed to Dr. Justin Fults, Director of Summer Blitz, by sending a message to jfults@maumeek12.org or calling (419) 893-8778 and leaving a message.

Email *

Student's First Name *

Student's Last Name *

Grade Level in '21-'22 *

Does your child currently have an IEP or 504 plan? *

Yes

Parent/Guardian First Name *

Parent/Guardian Last Name *

Primary Address (Street, City, Zip): *

Parent/Guardian Phone Number: *

Emergency Contact: First & Last Name *

Emergency Contact: Relationship to Student *

Emergency Contact: Phone Number *

Maumee City Schools will provide bus transportation to and from Maumee High School on the days programming is scheduled (Monday / Tuesday / Wednesday). Please indicate whether or not you are interested in seeing if your child qualifies: *

Yes, please verify if my child qualifies for transportation service.

No. We will provide our child with transportation.

The fee for the "Summer Blitz" program is $100.00 per child. Did this child qualify for free or reduced lunch during the '20-'21 school year? If "yes" or if you are interested in learning more about financial assistance please mark the appropriate box below. *

Yes, please contact us regarding financial assistance for "Summer Blitz".

No. We are not interested in financial assistance.

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