Please complete this Enrollment Form for the 2018 Summer School Program. Program dates are July 16- Aug. 9, Monday-Thursday (full day or half day);

Summer Programs are only available to students currently enrolled in Eastpointe Community Schools. Visit any of our schools to enroll TODAY!!!

Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Middle Initial
Your answer
What grade will the student be entering during the 2018/2019 school year? (PROGRAM FULL FOR K-8th grade) *
T-Shirt Size *
Street Address with suffix (i.e. St., Ave., Blvd., etc.) *
Your answer
City *
State *
Zip Code *
Parent Name (First and Last) *
Your answer
Cell Phone Number *
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
If we are unable to contact you, list two people who are AVAILABLE DURING SUMMER SCHOOL HOURS, who have agreed to assume temporary care of your child. Please include Name, Relation to student and Phone Number
Your answer
Please list any medications, allergies (including food) and other physical conditions or restrictions:
Your answer
Health Concerns: Please list any medications, allergies (including food) and other physical conditions or restrictions *
Your answer
We encourage all student to attend a full day. The morning program focuses on literacy and math skills, the afternoon will provide enrichment. Will your child participate in a full day or half day?
Our afternoon session will embrace the arts, health and STEM (Science Technology Engineering & Math). Which courses would interest your child? Check all that apply (PROGRAM CLOSED)
MEDIA RELEASE: I understand that my student may be photographed by ECS or MISD staff while participating in this program. These images may be used in school- and district-wide communications, including the district website and social media outlets. I agree to allow my student to be photographed and for those photos to be used in appropriate district communications. PROGRAM CLOSED *
Summer Program is limited to 120 students per building. Participation the program is a privilege. Positive behavior and regular attendance is required. PROGRAM CLOSED
Eastpointe Community Schools Title I Summer Program dates are Monday-Thursday, July 16-August 9, 2018, from 8:30 AM - 3:30 PM. Prompt drop-off and pick up at school, and bus stops is essential for the safety of all students. PROGRAM CLOSED
For students entering grades K - 5, summer school will NOW be held at: Forest Park Elementary School 18361 Forest Ave. PROGRAM CLOSED
For students entering grades 6 - 8, summer school will be held at: Eastpointe Alternative Center 15320 E. 9 Mile Rd. PROGRAM CLOSED
A copy of your responses will be emailed to the address you provided.
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