YESS Restoration Ecology Class 2023

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Please fill out this form completely. Your application will be processed in the order it is time stamped as received.

Email *

Assurances - check all boxes*

I understand that this class is on a first-come, first-served basis.

I understand there will be a lunch provided; students can also bring a lunch.

I understand that there is NO BUS TRANSPORTATION to or from Valley View Middle School.

I understand that my student's emergency form must be completed and turned in on or before the first day of class.

I understand that the first day of class is July 3rd through and the last day is August 4th.

Required

Student Last Name *

Student First Name *

Student Date of Birth *

YYYY

Student Expected Graduation Year: *

Parent email address *

Student email address *

Parent home address including street, city, and zip code *

Parent Phone Number with Area Code: *

Student Phone Number with Area Code:

Emergency Contact Phone Number with Area Code: *

Student ID (Lunch ID#)

Does you student have a life threatening health condition (example: diabetes, seizure disorder or allergy requiring medical attention)? If yes, a current health plan from your home school must be provided in person, by fax to 425-356-2201; or emailed to SCInfo@mukilteo.wednet.edu by the first day of classes. *

Yes

If you answered that your child has a life threatening medical condition please tell us how we can support your child during our summer school session including diagnosis and support needed.

Does your child have a 504 plan or IEP at their sending school? Please Note: If your student has a 504 or IEP, please provide a copy of that entire document from the sending school case manager or counselor prior to the first day of class. This will help us understand any necessary accommodations within the documentation to help support your student access the general education course(s) this summer at Sno-Isle Tech. *

Yes

I understand that submission of this form does not signify acceptance to Sno-Isle TECH Summer School. You will be notified of acceptance or waitlist status by email to the parent email provided in this application. *

I have read and understand the acceptance and waitlist information.

Required

A copy of your responses will be emailed to the address you provided.

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