Summer School Registration
Held at the Southside Campus only. A minimum of 6 students must be enrolled for the session to be offered.
Email address *
Student's First Name *
Student's Last Name *
Date of Birth *
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Grade in Fall 2020 *
Gender *
Social Security Number
Student's Street Address *
Student's Zip Code *
Parent's First Name *
Parent's Last Name *
Parent's Street Address *
If different than student's
Parent's Zip Code *
If different than student's
Parent's Home Phone *
Parent's Cell Phone *
Current School
Special Needs
How did you find out about our program? *
Completed by *
Type your full name
Your relationship to the student *
Date form completed. *
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Submit
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