Summer Program Registration
1 Form MUST be submitted per student!

The following summer program is available to students entering 1st - 8th grade in the Runnemede School District. The program will operate from Monday, June 26, 2017 through Friday, August 11, 2017. The hours of operation are based on your family needs, the program will run from 6:45 am - 6:00 pm.

If you have questions, or need assistance filling out the form - please contact that Business Office @ 856-931-5365 ext. 212

Email address *
Student's Name (First Name and Last Name) *
Your answer
Grade as of September 2017 *
Summer Schedule - Please select participating weeks *
5 days @ $125.00 per week (6:45am-6pm)
3 days @ $90.00 per week (6:45am-6pm)
5 days @ $30.00 per week (12:00pm - 3pm)
N/A - Not Attending
Week of June 26, 2017
*
3 days @ $90.00 per week (6:45am-6pm)
3 days @ $20.00 per week (12:00pm - 3pm)
N/A - Not Attending
Week of July 3, 2017 (CLOSED Monday 07/03 and Tuesday 07/04)
*
5 days @ $125.00 per week (6:45am-6pm)
3 days @ $90.00 per week (6:45am-6pm)
5 days @ $30.00 per week (12:00pm - 3pm)
N/A - Not Attending
Week of July 10, 2017
Week of July 17, 2017
Week of July 24, 2017
Week of July 31, 2017
Week of August 7, 2017
If you selected 3 days, what days do you plan on your student attending:
Please read the following and acknowledge your agreement and understanding (All 3 MUST be selected): *
Required
If we have questions about your registration form, please submit the best number to reach you at (NAME & PHONE #) *Must be a parent / guardian *
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of Runnemedeschools.org. Report Abuse - Terms of Service - Additional Terms