Rising TIDE Summer 2024 Enrollment Form

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Rising TIDE is offering programming virtually and in-person this Summer.

Our Summer programming is already in the planning stages! We will be offering programming from 10:00 a.m. - 3:00 p.m. Monday thru Thursday, with a lunch included, June 17th - July 25th. Your sign-up now guarantees you a spot in our summer program.

After receiving your application, we will be following up with you personally to provide information about specific classes we will be offering, so you can have input into your child's schedule for the six week Rising TIDE summer program.

If you are interested, please complete this application as soon as possible.

Email *

Parent/Guardian's Phone Number *

Child's First and Last Name *

I am interested in my child ... *

participating in the Summer Program.

enrolling in Rising TIDE for the first time and participating in the Summer Programming

Date of Birth *

YYYY

Address *

New Grade Level -- Fall, 2024 *

Allergies (Any changes? if none, please type No; if yes, please type yes and list the changes.):
*

I am interested in summer programming. (Please choose all that apply.)
*

In-Person

On-line (Virtual)

Hybrid

Not Interested

Reading (mornings)

Math & Science (mornings)

World Awareness (mornings)

Summer Bible Club & Ethics (afternoons)

MADD INC - Music, Art, Drama, Dance (afternoons)

Life Skills (afternoons)

I am interested in receiving further information about ... (Please choose all that apply.)
*

Yes, please!

No thank you.

Special Events

Youth Programming (6th - 12th Grade)

I am interested in receiving more information about transportation *

to and from the summer programming.

Not interested at this time.

Comments

I have provided you with all necessary updates to my child's records at Rising TIDE. -- Please provide your virtual signature (Parent's or Guardian's Name). *

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

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