LWJE Summer School Registration
"School's in for Summer!" Please complete this registration form for each child enrolling in 2019 Summer School at Lucy Wortham James Elementary School. (At the end of the form completion, you will see a link to complete the form again for any additional students.)
Student's Legal Full Name: *
Your answer
What grade WILL your child be in for the 2019 - 2020 school year? *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race/Ethnic Origin: The St. James R-1 School District is required to make reports to the Office of Civil Rights and to the State of Missouri using the following Race/Ethnic categories. These are established by the State of Missouri and the U.S. Department of Education. Please check all that apply.
Parent/Guardian Name: *
Your answer
Parent/Guardian Address: *
Your answer
Parent/Guardian Phone: *
Your answer
Parent/Guardian Cell Phone:
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone: *
Your answer
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