HCS Summer Learning Academy Summer Enrichment 2022
By filling out this form I hereby grant permission for my child to attend the HCS Summer Learning Academy.
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Email *
Student's First Name *
Student's Last Name *
Date of Birth *
Gender *
Student Number (10 Digit number that can be located in PowerSchool)
SPED Services *
Dietary Information
Other Health Concerns
Legal Guardian's full name *
Legal Guardian's email address *
Legal Guardian's phone number (only numbers no dashes or parentheses) *
Emergency Contact's full name *
Emergency Contact's phone number (only numbers no dashes or parentheses) *
Approved person(s) to check-out student
My student's grade in the 2021-2022 SY is: *
High School attended 2021-2022 *
Are you requesting HCS to provide transportation each day to and from the designated HCS Summer Learning Academy site. *
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