Kindergarten Warm Up Camp 2019 Registration Form
Site: Emmons Elementary School - 1306 South Main Street, Mishawaka, Indiana 46544
Transportation: Provided to and from your child's home school (refer to the bus schedule)
Dates: June 24 - July 24 (M-F) NOTE: No camp on July 4 and 5
Time: 8:30 AM - 11:30 AM
Meals: Breakfast and lunch will be provided
STUDENT AND PARENT/GUARDIAN INFORMATION
Student Name *
Your answer
Gender *
Student's Homeschool (the school your child will be attending for Kindergarten) *
Parent/Guardian Name *
Your answer
Home Address *
Your answer
City and Zip Code *
Your answer
Phone Number *
Your answer
Does Student have an IEP? *
TRANSPORTATION
My child will be riding the bus to and from their home school *
MEDIA CONSENT
Your child's school often has opportunities for positive media coverage. Staff of School City of Mishawaka and United Way may want to review, photograph, or videotape your child and/or their work for publications, television reports, public presentations, websites, and social media. Student work and information includes but is not limited to: child's photo; name; grade; age; drawings; materials; writings and/or quotations; photographs; and images.
Media Release Consent *
Next
Never submit passwords through Google Forms.
This form was created inside of School City of Mishawaka. Report Abuse - Terms of Service