2022 Title I KP-5 Summer School Student Sign-Up
This program is FREE and open to all enrolled Carman-Ainsworth students who are in KP through 5th grade in the 2021-2022 school year. Summer school will be a 6 week face-to-face program focused on foundational reading and math skills along with some social emotional learning.

Days: Monday - Thursday
Time: 9:00-1:00
Location: Dillon (Dillon and Rankin Students), Dye (Dye and Randels students)

Transportation Provided (Bus route information will be posted on our CA webpage, CA Facebook page and sent home the first week of summer school.)

Breakfast, Snack and Lunch Provided (FREE)

Latchkey is available through C/A Community Education (contact: 810-591-3600 for cost) at Dye from 7:00-5:30 Monday-Friday.

2-Self-contained Special Education classrooms will be housed at Dye for the summer program.

Sign your student up for the grade level they are currently in for this school year (21-22). For example: if your student is a 2nd grader right now, sign them up for 2nd Grade.

            Enrollment is LIMITED! Once we reach MAX enrollment, students will be placed on the waiting list.

                          ******DEADLINE FOR COMPLETING STUDENT SIGN-UP IS MAY 20TH.******
Sign in to Google to save your progress. Learn more
Email *
Weeks of Program
Week 1: June 20th - June 23th
Week 2: June 27th - June 30th

July 4th-July 8th DISTRICT CLOSED

Week 3: July 11th - July 14th
Week 4: July 18th - July 21st
Week 5: July 25th - July 28th
Week 6: August 1st - August 4th

We encourage students to attend all 6 weeks of the program, but we will not turn away students/families who are not able to commit to all 6 weeks.
Parent's First and Last Name *
Parent's Home Address *
Parent's Email *
Parent's Phone number *
Student 1: First and Last Name *
Student 1: Current school for the 21-22 school year *
Student 1: What grade is the student in for the current 21-22 school year? *
Student 2: First and Last Name
Student 2: Current School for the 21-22 school year
Clear selection
Student 2: What grade is the student in for the current 21-22 school year?
Clear selection
Student 3: First and Last Name
Student 3: Current School for the 21-22 school year
Clear selection
Student 3: What grade is the student in for the current 21-22 school year?
Clear selection
Student 4: First and Last Name
Student 4: Current School for the 21-22 school year
Clear selection
Student 4: What grade is the student in for the current 21-22 school year?
Clear selection
Does your child need transportation to summer school? (Choose 1 drop-off and 1 pick-up option.) *
Required
Is your child in a self-contained Special Education classroom during the school year that we need to consider when creating classes? *
Please be sure to have your correct email address and phone number on this application to make sure you get important updates.
Questions? Please contact the Title I Coordinator for your building:

Dye/Dillon: Mrs. Fisher 810-591-6633 or 810-591-7047
Randels/Rankin: Mrs. Pauley 810-591-7435 or 810-591-6763
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Carman-Ainsworth Community Schools. Report Abuse