Summer Learning Program 2019 Student Consent Form

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Welcome to the 2019 Summer Learning Program registration page! The Summer Learning Program runs from Tuesday, July 2 to Friday July 19, from 9:00 a.m. to 1:00 p.m. There are multiple sites and you will be asked to identify the site closest to your current school. Students currently in Year Two (Senior) Kindergarten and currently in grades 1 - 5 in a Hastings Prince Edward District School are eligible for the program.
Please fill out this form for registration purposes. Complete this form for each child you are registering. If you have any questions please speak to the Principal of your current school.

*PLEASE NOTE - PRINCE CHARLES BELLEVILLE AND PRINCE OF WALES PUBLIC SCHOOLS ARE CURRENTLY FILLED. WE WILL CONTINUE TO ACCEPT REGISTRATIONS FOR MARMORA PUBLIC SCHOOL UNTIL MONDAY, JUNE 24th.

Email *

PART I - STUDENT INFORMATION

To be completed by parent(s)/guardian(s)

Student's Name *

Gender

Female

Male

Prefer not to say

Other:

Clear selection

Date of Birth *

YYYY

Current HPEDSB School *

Grade Completed (2018-2019 School Year) *

Year Two Kindergarten (Senior Kindergarten)

Grade One

Grade Two

Grade Three

Grade Four

Grade Five

2018-2019 Teacher

Relevant Health Information (e.g., allergies, medications, medical conditions) *

Which Summer Learning Program Site will you attend? *

Marmora Public School

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