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LHS & VA Summer School Registration Form 2023
Please complete the form accurately as possible to register for LHS Summer School 2023. Note: After May 12, you will need to provide your own transportation to participate in Summer School.
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Email
*
Your email
Does your student attend LHS or LCSVA?
*
Lincoln High School
Lincoln Consolidated Schools Virtual Academy
Current Grade Level
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9th Grader
10th Grader
11th Grader
12th Grader
Student Name (Last, First)
*
Your answer
Student ID
*
Your answer
Student Birthday
*
MM
/
DD
/
YYYY
Address ( Number and Street,Apt/Lot Number, City, Zip code)
*
Your answer
Name of Parent Guardian
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Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian E-Mail Address
*
Your answer
Additional Parent Guardian
Your answer
Additional Parent/Guardian Phone Number
Your answer
Additional Parent/Guardian E-Mail Address
Your answer
Alternate Contact (Last Name, First Name, Relationship, Phone Number, and Email)
Your answer
Will your student require technology such as a chromebook?
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Yes
No
LHS STUDENTS ONLY: Will your student require LCS transportation to and from summer school? Note: After May 12th, you will need to provide your own transportation to participate in Summer School.
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Yes
No
N/A (VIRTUAL ACADEMY STUDENT)
Will your student require additional support? (Individualized Education Plan, 504 plan, Requested Accommodation)
*
Your answer
Additional Comments: Please put N/A if no additional comments are necessary.
*
Your answer
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