JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Clips Get Lit - Summer Program Registration
* Indicates required question
Student/Participant Last Name
*
Your answer
Student/Participant First Name
*
Your answer
Grade entering in Fall
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
High School
Adult
In order to better assist your child, please check all that apply
*
Student is doing well in school and participating in this program to accelerate learning.
Student is doing well in school, but struggling a little in reading.
Student is doing well in school, but struggling a little in math.
Student is struggling in school, and reading is a large part of the struggle.
Student is struggling in school, and math is a large part of the struggle.
Student is high school student needing assistance with summer required reading.
Adult, will attend program and help assist my student (this is not required, this information helps with staffing)
Adult, will attend program with my student, but to read on my own.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clearview Local Schools.
Report Abuse
Forms
