The Compass Summer Program - 2019
The Compass Program is a free summer program open to incoming 9th graders. Our program offers a variety of amazing opportunities for our incoming freshman students. The goal is for students to make connections with other students, staff, and people in the community, all the while engaging in fun and interesting activities.

Details about the program:

Location:
The Stoklosa Middle School Broadway Street Lowell, MA

Dates:
Monday July 8 - Saturday July 27th*

Days:
Monday through Thursday
*Friday July 26th and Saturday July 27th Folk Festival Participation

Times:
Monday - Wednesday; 8 am - 11:30 am; Thursdays 8 am - 3:00 pm
*Please note* Thursdays are field trip days and the hours are extended to 3:00 pm.

Breakfast and Lunch are available to every student.
Transportation is not provided, but we do offer bus tickets to any student wishing to utilize the LRTA.
Student Information
Please provide information about your student.
Student's First Name *
Your answer
Student's Last Name: *
Your answer
Student's Email Address
Your answer
Student's Cell Phone *
Your answer
Does your student have any medical conditions or take any medications that we should be aware of? *
If your student does have any medical conditions or takes medications that we should be aware of, please explain what they are. *
Your answer
Does your student have any known allergies? *
If your student has known allergies, please explain:
Your answer
Where did your student attend 8th grade?
Your answer
Guardian Information
Please provide information for emergency contact purposes.
Guardian's First and Last Name and Relationship to Student *
Your answer
Guardian's Email Address
Your answer
Guardian Phone Number *
Your answer
Second Emergency Contact Name and Phone Number *
Your answer
FINE PRINT
Do you give your student permission to be transported by Lowell Public Schools during the duration of this summer program? *
Do you give permission for your student to be photographed and have their likeness, but NOT THEIR NAME, used for promotional materials (i.e. Lowell Sun, LHS website, social media accounts, Compass Program). *
This question is not the same as above. Please read carefully. Do you give permission for your student to be photographed and have their likeness AND NAME used for promotional materials (i.e. Lowell Sun, LHS website, social media accounts, Compass Program). *
I understand that Lowell Public Schools and LPS Extended Time Program is not responsible for any injury or accident that may occur during the Compass Summer Program. I give permission for medical treatment to be administered to my child by qualified medical personnel in the event of accident or injury. I understand the Lowell Public Schools and LPS Extended Time Program are not liable for my student in the event they do not attend the program, or if they choose to leave early. *
Are you aware that the program takes place at the STOKLOSA SCHOOL? *
Are you aware of the dates, days, and times of the program? *July 8th - July 27th *Monday through Thursday *Friday July 26th 8 - 12 *Saturday July 27th Folk Festival Shifts from 8 - 12 or 12 - 4
Please let this form serve as a digital signature. *
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Thank you for joining us for our summer fun. If you have any questions, contact Kate Keefe - kkeefe@lowell.k12.ma.us or 781.690.7414
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