WSD Summer School/Program Sign-up
Please complete this form in order to sign-up for the Summer Programs the Winlock School District will be providing.  If you have any questions please contact Dracy MCCoy for WMS and WHS students and Nick Birklid for WMES students. Summer School and Programs will take place Monday through Thursday 8:00 AM to 1:00. This will include meals, activities, breaks. Transportation will also be provided to students that need it.
Email *
Student Name *
Parent Name *
Parent email *
Parent phone *
Which school does your student attend? *
What grade will your student be for the 2021-2022 school year? *
My student will need bus transportation for Summer School/Programs *
If you marked "Yes" for bus transportation, what is your address?
Summer School Programs - Descriptions
July 12 - July 22 - Geology and Mt. St. Helens with a culminating Field Trip to Mt. St. Helens. (This can be Science/math activities or ELA and writing about Mt. St. Helens).

5th Grade students going to 6th Grade - Math Enrichment - This is to allow 5th grade students to work through Math concepts that were not covered during the school year in order to prepare them for Middle School.

July 19 - Aug 5 - Robotics. This will be using Robotics kits and some basic coding programs. It will also include a culminating Field Trip to the OMSI in Portland.
If you wish to participate in the 5th Grade Math Enrichment instead of the Geology Activities please check the box below. (5th grade going to 6th grade).
Emergency Information
Please complete the information below for students traveling on summer field trips and activities.  
Emergency Contact (during the Summer) *
Emergency Contact Phone # *
Any medical conditions or physical limitations we should be aware of? *
T-Shirt Size *
Do you give permission for photos to be taken of your student for purpose of documenting activities for the 21st Century Grant/ESD 113 or promoting student opportunities in Winlock School District? *
Occasionally there are movies shown to students participating in activities.  Do you give permission for your student to watch PG (grades 7 and older) or G movies (grades 4-6)? *
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