L'Amoreaux's Reach Ahead Summer Program REGISTRATION FORM

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Please complete all areas of the registration form to be considered for our Reach Ahead Summer Programs. We ask that all registrations be completed by Friday June 7th at 3:30pm for equal consideration.

Email *

Student First Name *

Student Last Name *

Student Number *

Current Grade 8 School *

Sir Ernest MacMillan

JB Tyrrell Senior PS

Silver Springs

Pleasant View PS

John Buchan Senior PS

Chief Dan George PS

Other:

Will you be attending L'Amoreaux in September? *

Yes

Other:

Name of Parent / Guardian *

Please provide the FIRST name followed the LAST name

Relationship to Student *

Mother

Father

Grandmother

Grandfather

Other:

Contact Number for Parent / Guardian *

Please provide the BEST contact number for the parent/guardian to be reached. The parent/guardian should be able to be reached at all times at the number provided.

The contact number provided is: *

Home

Cell

Work

Other:

Parent / Guardian Email Address

Electronic Signature *

I, the parent/guardian named above, understand that this is a registration form for the Reach Ahead Program and by submitting this form, I am submitting my electronic signature

I, the student named above, understand that this is a registration form for the Reach Ahead Program and by submitting this form, I am submitting my electronic signature

We understand the program runs from July 2nd to July 26th

We understand each day begins at 8:45am and ends at 3:30pm and that attendance is an important factor in success

We understand that we can call 416-396-6745 x.20043 with any questions or concerns we may have

Required

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

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