SUMMER SCHOOL ENROLLMENT FORM       This form must be completed for each child attending summer school.                        
July 6th - July 30th, 2020                                        
Monday-Friday 8:00 a.m. - 3:00 p.m.                              
Breakfast served 7:30-8:00 a.m.
Breakfast and lunch will be served at no charge to students during summer school.

**COVID-19 Precautions** Summer School is attend at one's own risk! The school nurse will be available during summer school. The district will practice social distancing wherever possible and encourage regular handwashing and use of hand sanitizer. Students from the same household may sit together on the bus but otherwise riders will be spaced out as much as possible. Students may wear masks and gloves but it is not required.
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Student Name (First and Last)
What grade did the student just complete during the 2019-2020 school year?
FOR HIGH SCHOOL STUDENTS ONLY (students who completed 8th-11th grade during the 2019-20 school year) Please select the summer school course you would like to enroll in:
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Physical Address (No P.O. Boxes)
Date of Birth
MM
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DD
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YYYY
Name of Parent/ Guardian 1
Parent/ Guardian 1  Cell number (Include area code)
Parent/ Guardian 1  Work number (Include area code and name of business)
Name of Parent/ Guardian 2
Parent/ Guardian 2  Cell number (Include area code)
Parent/ Guardian 2  Work number (Include area code and name of business)
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