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 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? *
My child will be riding the bus to and from their home school *
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 *
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