UHMS Summer Registration 21st Century Program 2021
Program begins Monday June 28th and ends Monday July 26th. There is no school on Monday July 5th.
ALL STUDENTS WILL BE IN THE BUILDING.
Email *
I am happy to announce that our Summer 21st Century Program will be IN PERSON. Program begins June 28th and ends July 26th. 8:30am-12:30pm. Join us for recreation (gym) activities, art, games, music, video games, etc. Students will be able to select different activities each day. If you are interested in participating, fill out this form and come to school on Monday June 28th at 8:30am. Masks must be worn and students will remain socially distanced. Me complace anunciar que nuestro programa de verano del siglo 21 será EN PERSONA.El programa comienza el 28 de junio y termina el 26 de julio.8:30 a. M. A 12:30 p. M.Únase a nosotros para actividades recreativas (gimnasio), arte, juegos, música, videojuegos, etc. Los estudiantes podrán seleccionar diferentes actividades cada día. Si está interesado en participar, complete este formulario y venga a la escuela el lunes 28 de junio a las 8:30 am.Se deben usar máscaras y los estudiantes permanecerán socialmente distanciados.
Student First Name/Primer Nombre de Alumno *
Student Last Name/Apellido *
ID Number *
Grade Level/Grado *
Homeroom/Aula *
Address/ Direccion de la Casa *
Parent or Guardian Name/Nombre de padres o tutores *
Parent or Guardian Email Address/correo electronico de padres o tutores *
Parent or Guardian Cell Phone Number/ Teléfono cellular *
Emergency Contact Name/ contacto de emergencia *
Emergency Contact Number/Teléfono de contacto emergencia *
Medical Conditions or allergies/condiciones médicas o alergias *
What kinds of activities would you be interested in participating in? This is just a survey. You can change once program has started. *
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