Virtual Summer School Student Registration Form
Please complete the following form in its entirety to register your child in the 2020 Virtual Summer School program.
Email address *
Part I: Student Information
The include your name and student ID number.
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's ID: *
Your answer
Your child's 2019-2020 school level *
Your child's 2019-2020 school assignment: *
Your child's 2019-2020 grade level *
Does your child currently receive additional support services? *
If yes, please indicate the type(s) of services received.
Part II: Technology Survey
Due to this being a virtual summer school program, students must have access to an electronic device and internet access.
My child has access to an electronic device (computer, tablet, etc.) at home. *
My child has internet access at home. *
Part III: Parent Information
Please complete the following household information
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Parent/Guardian Home Phone:
Your answer
Parent/Guardian Cell Phone: *
Your answer
Parent/Guardian Email Address: *
Your answer
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