2020 ISA/STEM Summer PE

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Monday, June 15-18, and June 22-25, 8:00 a.m. - 4:00 p.m., Cost $160.00
Make check payable to "ISA", or pay online at https://neisd.schoolcashonline.com/Fee/Details/2977/154/False/True

Email *

Student First Name *

Student Last Name *

School ID #

Are you an ISA, NESA or STEM student? *

ISA

STEM

What grade will you be entering in the 2020-2021 school year? *

Parent First Name *

Parent Last Name *

Student email *

Parent Cell Phone/Best Phone Contact *

Student Adult T-Shirt Size *

Small

Medium

Large

X-Large

XX-Large

Can your student swim? Please indicate yes or no and their level of comfort in the water. *

Can your student ride a bike? Please indicate yes or no and their level of comfort on a bicycle. *

Does your student have any allergies? If yes, please explain. *

Does your student have any medical issues that would affect his/her participation in Summer PE? If yes, please explain. *

Does your student take any medication regularly? If yes, please explain. *

Name of Family Physician *

Phone Number of Family Physician *

Name of Emergency Contact *

Phone Number of Emergency Contact *

We need chaperones for some of the Summer PE field trips. Would you like us to contact you about volunteering? *

Yes, I am able to volunteer

No, I am not able to volunteer

Summer PE ends promptly at 4:00 pm, except for 2 days when camp ends at 5:00 pm. We have an extended day program available for parents who may have difficulty picking up students at these times. For a flat fee of $30.00, supervision will be provided for your student until 6:00 pm. If you do not choose the extended day option, the $30.00 flat fee will be assessed if you are more than 15 minutes late for the 4:00 pm pick-up.

Does your student require extended day? *

Yes, please sign me up for the extended day ($30 flat fee for both weeks). I understand that my student must be picked up by 6:00 pm.

No, we do not need extended day. I understand that a $30 flat fee will be assessed if we are more than 15 minutes late for the 4:00pm pick-up.

Option 3

I will be paying via *

Credit card online (use link at top of form)

Check (made payable to ISA)

Cash

I understand that by completing Summer PE, my student will receive credit for H7208 Outdoor Adventures and not be eligible to take this course for credit at a later date. *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of North East ISD, SA, TX. Report Abuse

Forms