RSPA Summer Packet Request Form
Summer Packets will be provided to close learning gaps that resulted from school closures. Please fill out one form per scholar.
Email address *
Which campus does your scholar attend? *
Campus Number - Humble-101-861-105 Channelview- 101-861-103 Living Word-101-861-104 *
Would you like to request a summer packet for your scholar? *
What type of packet would you like to request *
If you are requesting an online packet do you need technology? *
Parent First Name *
Parent Last Name *
Home Language *
Parent Phone number. Please use this format: 555-555-555
Street Address *
Apt Number
City *
State *
Zip Code. Please use this format xxxxx-xxxx *
Student Full Name *
2019-2020 Grade level *
Scholar Language Spoken
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