Request to Register for Summer by the Lake 2021 programs.
Thank you for your interest in our summer programs. You have requested to enroll in our Summer by the Lake offerings. It is not uncommon for children to experience difficulties when in a new school environment. Therefore, we require families whose child is not enrolled in our school year programs to provide more information for final summer enrollment approval. If approved, we will set you up an account to register.
Sign in to Google to save your progress. Learn more
Parent Guardian Name *
Parent Guardian Email Address *
Parent Guardian Cell Phone *
Child Name: *
Date of Birth: *
Current School: *
Rising Grade for 2021-22 School Year: *
Are all vaccinations up to date for your child and do you agree to provide us vaccination documentation before the first day? Please email a copy of your child's record to gundersonc@casady.org *
Are you a graduate of Casady School or have some other connection?  Please explain. *
Why did you choose Casady Summer by the Lake? *
Has your child been diagnosed with any learning or behavioral challenges that our teachers should know be aware of?  Please explain. *
Has your child been diagnosed with any allergies or medical conditions that we should know about?  Please explain. *
With your permission, please provide contact information for a reference for your child. *
So we may check availability, please list dates you are interested for your child. *
Any comments or other information to provide that we should be aware of? *
BEHAVIOR POLICY: Casady School reserves the right to request the withdrawal of any student whose conduct, attendance, or progress is deemed undesirable or unsatisfactory.                                           RISK OF INFECTION: There is always a risk of infection when one enters a community venue. Please acknowledge and accept the risk of your child participating in our programs during these uncertain times. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CASADY SCHOOL.

Does this form look suspicious? Report

Google Forms