LEAP Program Interest Form SY21
Date of opening approximately end of September

REGISTRATION PROCESS

 Complete this interest Google Form to show your interest in LEAP
o MAKE SURE YOUR EMAIL ADDRESS IS CORRECT!

 After the interest form is complete you will be contacted by the site supervisor if space is available.

 If space is available, you will be sent a registration packet to complete & SUBMIT.
o All forms in this packet MUST be completed thoroughly.

 Program participants will be accepted on a first come first serve basis.

 Returning Students: Returning LEAP students are required to complete an interest form as well.

 Questions, comments, concerns . . . email: rpavic@wcboe.org or call: 410-677- 5803

SPACE IS VERY LIMITED! PLEASE RETURN YOUR FORM ASAP!
Email *
Parent Name (Last, First) *
Cellphone # *
Child 1's Name (Last, First) *
Child 1's Grade *
Child 2's Name (Last, First) (if applicable)
Child 2's Grade (if applicable)
Clear selection
Child 3's Name (Last, First) (if applicable)
Child 3's Grade (if applicable)
Clear selection
Submit
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