BIS Summer School Enrollment 2025
Please complete the enrollment process only ONE time, per child enrolled. IF you need to make changes later, please call the BIS office. Summer School Dates: May 28-June 24. Summer School Time: 8:00am-2:30pm.
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student Date of  Birth *
MM
/
DD
/
YYYY
Is your child currently enrolled in the Bolivar School District? *
Parent/Guardian Name(s) *
Parent/Guardian   Phone Number *
Parent/Guardian   Email Address *
Emergency Contact and Phone Number *
Student Grade Level Fall 2025 *
Student's Current (2024-2025) Teacher *
Allergies? Please list them here or "none" *
If your child has siblings attending BPS or BIS for summer school, please list names and buildings here.
Will your child need BUS transportation for summer school?
*Reminder* If you select that you need bus transportation, you must visit the district website to sign up for bus transportation.
*
Will your child be car pick up? *
If your child will be car pick up, please provide the name(s) of individuals allowed to pick up during summer school. *
Afternoon class options: Rank your top 4. There is no guarantee that a student will get one of their top choices.
Select your top 4
Travel to Space
Stop Motion Studio
Gaming, Gaming, Gaming
Wanna Have Fun
The Game Wizard
Sports Academy
PE/Card Games
Spirit Squad Cheer
What In The World
Clear selection
I understand summer school operates on a “3 strikes” discipline policy and that after 3 disciplinary infractions, my student will not be allowed to finish summer school. Also, students will go on various field trips throughout the session.  **Please type your name HERE to accept the discipline policy and grant permission for field trips.  This will complete your summer school registration!  Thank you!!
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Bolivar R-1 Schools.

Does this form look suspicious? Report