Summer School Candidates
The following form has been created to communicate your interest in attending Summer School. These students must be in 1st, 3rd, 4th and 5th grade. Please fill out the following questions.
Student's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Level *
Teacher *
Your answer
Current Address *
Your answer
Phone Number *
Your answer
Parent/Guardian Name (Emergency Contact) *
Your answer
Relationship to Student *
Your answer
Phone Number *
Your answer
If your student is registered for Summer School, you are committing to participate daily and fully to ensure that your student benefits from this learning experience. *
Submit
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