2017 Middle School Basic Skills Summer School Parent Permission Form
Basic Skills Summer School will be held June 12 through July 20, Monday through Thursday, 8:30 a.m. to noon, with no classes the week of July 3-6.

Middle School Basic Skills 2017 will be located at Meyer Middle School.

Parents: Please complete the below registration form (one per child) to officially enroll them into Summer School for the Summer 2017 session. Forms must be completed by Friday, March 31, 2017.

Email address
Do you wish to enroll your child in the Middle School Basic Skills Summer School Program?
Required
If a "No" response was given, please indicate the reason below. Also, please indicate the student's name and grade level, where requested on this form, for identification purposes.
Your answer
Student's Last Name
Your answer
Student's First Name
Your answer
Student's Current Grade Level
Required
Parent/Guardian name
Your answer
Home phone (xxx) xxx-xxxx
Your answer
Mother's cell phone (xxx) xxx-xxxx
Your answer
Father's cell phone (xxx) xxx-xxxx
Your answer
Emergency Contact name (NOT listed above) If we cannot reach the numbers above, in an emergency, we will try to reach this person.
Your answer
Emergency Contact's relationship to student.
Your answer
Emergency Contact's phone (xxx) xxx-xxxx
Your answer
If the student has any medical issues, allergies, etc. we should be aware of, please list them below
Required
If YES was selected above, please identify your child's medical issue
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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