Excellence in Action Registration Form 2021
Back by popular demand is the Thoreau Excellence in Action summer program! This program has been designed by Thoreau staff members to provide students with essential background knowledge and skills that will help them have a successful transition to middle school. This year we will be running two day sessions rather then week long sessions.   There will be a total of four sessions.  

To register, answer all questions below.  Please only sign up for one session.  

The cost of the program is $45. The registration fee will cover the instructional expenses and a Thoreau t-shirt.  

Payment can be made through the FCPS online payment site, "myschoolbucks.com" in the School Store section of your child’s elementary school, or if a rising 8th grader, Thoreau's School Store.  This option will be "down" until after July 1st.  

The second  option is to send a check made payable to “Thoreau Middle School” to-
Thoreau MS
 c/o EIA program
2505 Cedar Lane
Vienna, VA 22180

The third and preferred option is to drop off a check at the front office.  Summer office hours are 9 a.m. - 2 p.m.


You will receive a confirmation email within a week once your form and payment are processed.

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Please indicate which session your child will attend: *
Student’s Last Name *
Student's First Name *
Male/Female: *
Grade level *
Elementary School *
Parent /Guardian Name *
Parent/Guardian Email Address: *
Parent Phone Number *
Mailing Address: *
Emergency Contact: *
Emergency Contact Phone Number *
Please indicate how your child will be transported to and from Thoreau Middle School: *
Required
Please indicate how you will be paying the $45 for the program. Checks should be payable to Thoreau Middle School *
Please choose your student’s adult t-shirt size: *
Student Allergies (list): *
If you answered yes, what type of food allergy?
Medications that they will bring to the program:
Special Education Needs (504, IEP, ESOL)
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