Mountain View-Birch Tree School District Summer School Enrollment Form                                                
The Mountain View-Birch Tree RIII School will hold summer school from June 1 to June 30.  Transportation and meals will be provided.  Please complete and submit a form for each of your children.    
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Student's Legal Name (First, Middle Initial, Last) *
What grade is your child in THIS year (2021-2022)? *
Gender *
Race *
Ethnicity *
Transportation to and from summer school *
Address (Physical) *
County *
Work Phone Number *
Home Phone Number *
Cell Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Second Emergency Contact Name   *
Second Emergency Contact Phone Number *
My child MAY NOT be picked up by: *
Name of Previous School (If not MVBT School District) *
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