Aspire Summer Lunch Program 2022

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Middle School and High School Student Summer Lunch & Enrichment Program: for youth finishing grades 7-12th.
Games/Speakers/Marathon Kids/Nutrition Class/Small Group Time/Career Readiness/Life Skills/Faith Based Lessons

Program Dates: June 6 - July 29, 2022
*Closed Monday, July 4th*
Days: Monday - Friday
Time: 12:00 - 3:45 pm
Location: Fremont Presbyterian Church, 520 W. Linden Street

No cost program for students finishing grades 7-12th. Free lunch is offered starting at 11:15 at the Fremont Presbyterian Church. This is open to the entire community.

*Students arrive for lunch and engage in afternoon enrichment activities and field trips - our programming runs from noon to 3:45 pm daily*

Full Name of Student *

School Attended During the 2021-2022 School Year *

Fremont Middle School

Fremont High School

Cedar Bluffs Middle/High School

Arlington Middle/High School

Other:

Grade During the 2021-2022 School Year *

Parent/Guardian Name *

Parent/Guardian Day Time Phone Number *

Parent/Guardian Email *

Emergency contact (other than yourself) - please provide their name and phone number we can reach during the day *

List individuals permitted to pick up your child from the program

Student Transportation: Please indicate how your youth will be transported to and from the program each day. *

I will transport my youth

My youth will walk (dismissed at 3:45)

My youth will drive themselves

Medical information: Please list any medical conditions or medications your child takes regularly. Please indicate if your child will require any special accommodations (For example – Will your child need to take medication during program hours?):

Authorize the following by checking the boxes: *

I give permission for my child to participate in the Summer Lunch Program at the Presbyterian Church of Fremont

I give permission to use photographs, video, or student work for promotional purposes & Aspire's social media

I give Aspire for Greatness and/or FPS permission to transport my child to program activities, field trips, and for medical care purposes

I understand that Aspire for Greatness and its employees and volunteers are not liable for personal injury or damage to personal property

Required

Please check if interested:

I would like my youth to receive a weekend food tote to take home.

I would like my youth to receive a back-to-school backpack with supplies. *students must attend at least 10 days*

I would like to know more about enrolling my youth in the new mentoring program.

I would like to know more about your after school program for the 2022-2023 school year.

How did you hear about our program? *

Facebook

Instagram

other Aspire program

Juvenile Justice/Diversion

Fremont Family Coalition

Church

Other:

Questions? Please enter them below.

We look forward to seeing you this summer!

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