Grade 3-8 Summer School Registration
Please complete each entry below. Provide your electronic signature. Summer school begins Monday, June 21, 2021 and ends on July 23, 2021. Classes are scheduled from 7:30 AM - 2:00 PM Monday - Thursday. Monday, July 4 is a designated school holiday; therefore, classes will be held on Friday, July 9 to fulfill the 20 day attendance requirement.
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Student's Last Name *
Student's First Name *
Grade (2020-2021) *
Parent's Last Name *
Parent's First Name *
Parent's Email
Mailing Address *
Zip Code *
Daytime Phone Number *
Evening Phone Number *
Alternate Contact Person with Phone Number *
My child will be the following for summer: *
By selecting the "I Accept" button , you are signing the Agreement electronically. You agree your electronic signature is the legal equivalent o your manual signature on this Agreement. *
Type your name and the date here: *
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Stop Here: Do not complete the bottom half of this form.
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