Students entering Grade 1 FES SUMMER PROGRAM REGISTRATION
2022
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Email *
Student Name *
(If you have more than one child please complete a form for EACH child.)
Parent or Legal Guardian Name *
Parent or Legal Guardian Cell Phone Number *
Additional Parent or Legal Guardian *
Additional Parent or Legal Guardian Cell Phone Number *
Parent or Guardian Email address *
Parent or Guardian Home address *
Home Phone Number *
#1 Emergency contact name and relationship *
The name & relationship of your emergency contact can be listed here. (ex. Jane Doe-Aunt)
#1 Emergency Contact Number *
The name & relationship of your emergency contact can be listed here. (ex. Jill Doe-Cousin)
#2 Emergency Contact Name & Relationship: *
Additional People to whom my child(ren) may be released: *
Please enter Name, Relationship and Phone Number of additional people to whom your child may be released. You may list up to 2 additional people. (ex. Jane Doe-Aunt-1234567890, Jill Doe-Cousin-1234567890)
Parent Signature *
A copy of your responses will be emailed to the address you provided.
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