2018 Elementary Summer School Registration Form
RICHMOND HEIGHTS LOCAL SCHOOL STUDENTS ONLY!!!

FREE Summer school is open to Richmond Heights students ONLY currently in Kindergarten through 6th grade.

Focus will be on reading and math.

Certified teachers from Richmond Heights Local Schools.

Free breakfast before class and free lunch after class.

Transportation will be provided to and from school.

Email address *
June 4 - June 29, 2018 (4 weeks)
9:00am - Noon
Student's First Name *
Your answer
Student's Last Name *
Your answer
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Other Parent's First Name
Your answer
Other Parent's Last Name
Your answer
Address *
Your answer
City - Richmond Heights *
Your answer
Zip - 44143 *
Your answer
Phone Number - Home
Your answer
Phone Number - Cell *
Your answer
Phone Number - Other
Your answer
Please list additional contact information
Your answer
Please list any allegies or medical issues
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
A copy of your responses will be emailed to the address you provided.
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