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PASD 2021 Elementary Summer School Form
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Grade level completed in 2020-2021 school year:
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Will student participate in summer school?
*
Yes
No
Will student use transportation provided by the school district for summer school?
*
Yes
No
Please list any food allergies that your child may have:
Your answer
Name and phone number of person #1 that is authorized to pick up student from summer school.
*
Your answer
Name and phone number of person #2 that is authorized to pick up student from summer school.
*
Your answer
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