Cookeville High School Winter Intersession
This is an application for your student to participate in the 21st CCLC one-day Winter Intersession Slam. Please fill out all information below and submit by Monday, December 17th.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Current Grade (2018-2019) *
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
I give permission for my child to be photographed/video for promotional purposes. *
Medical Conditions or Food Allergies? If none, please write NONE. If you have a food allergy, does the cafeteria have a "diet prescription" from your doctor? *
Your answer
*THE DATE HAS PAST FOR BUS TRANSPORTATION* *
Your answer
Why does your student need to attend the Intersession?
Please list the credit recovery classes or failing subjects:
Your answer
Submit
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