Summer School Enrollment Form 2023
Summer school will be held at the North Elementary campus this year for students that will be in Kindergarten through 5th grade NEXT year (current PK - 4 students).  The dates will be May 30 through June 23, and start/stop times will be, Tuesdays through Fridays from 7:50 am to 3:25 pm.  Please complete this form for each student you would like to send to summer school.
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Email *
Student First Name *
Student Last Name *
Address *
City-State- Zip Code *
Phone Number *
Grade for next year: 2023-24 *
Student Date of Birth *
(Ex: 06/11/05)
Parent/Guardian Name(s) *
Parent/Guardian Phone Number *
Emergency Contact Name (Other than parent) *
Emergency Contact Phone Number
Type of Transportation *
Please refer to the transportation schedule as pictured here, and indicated what route your student will use.  *
Captionless Image
Health Problems or Concerns (If yes please describe; if no please enter N/A)
Is your child currently taking medication at school? *
If your child is taking medication at school please list.
Is your child allergic to anything? *
If your child is allergic to anything please list.
A copy of your responses will be emailed to the address you provided.
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