Summer Learning Program 2019 Student Consent Form
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.
* Required
Email address
*
Your email
PART I - STUDENT INFORMATION
To be completed by parent(s)/guardian(s)
Student's Name
*
Your answer
Gender
Female
Male
Prefer not to say
Other:
Clear selection
Date of Birth
*
MM
/
DD
/
YYYY
Current HPEDSB School
*
Your answer
Grade Completed (2018-2019 School Year)
*
Year Two Kindergarten (Senior Kindergarten)
Grade One
Grade Two
Grade Three
Grade Four
Grade Five
2018-2019 Teacher
Your answer
Relevant Health Information (e.g., allergies, medications, medical conditions)
*
Your answer
Which Summer Learning Program Site will you attend?
*
Marmora Public School
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