School's Cool In Person Summer Program- Screening Form

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School's Cool In Person Summer Program- Screening Form

Thank you for your interest in the School’s Cool In-Person Summer Program! We are delighted to have the opportunity to learn alongside both you and your child! To ensure that your child receives the maximum benefit from the program, we kindly request the following information.

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* Indicates required question

Child's Full Name *

Your answer

Parent/Guardian Name *

Your answer

Parent/Guardian Email *

Your answer

Parent/Guardian Home Address *

Your answer

Parent/Guardian Phone *

Your answer

What is the primary language spoken within the home? *

English

Other

What age will the child be this December? *

2

3

4

5

6

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