Student Current Grade Level (in the 2020-2021 school year) *
Weeks I would be interested in having my student attend the TGS summer program (select ALL weeks that you are interested in ). The program will run 8:30-12:30 Monday through Thursday. *
Required
My student would need transportation to the program in the morning. (As it is during the school year, transportation is not provided to students who live in the walk zone. If you live in the walk zone, answer no to this question.) *
If you answered yes, what addressed would he/she need to be picked up at?
Your answer
My student would need transportation home when the program ends at 12:30? (As it is during the school year, transportation is not provided to students who live in the walk zone. If you live in the walk zone, answer no to this question.) *
If you answered yes, what address would he/she need to be dropped off at?
Your answer
Would your student need lunch provided? *
Would your student need breakfast provided? *
Does your student have any special needs we should be aware of (medical conditions, medication that will need to be administered, allergies, etc.)? If so, please explain below.
Your answer
Name of Parent/Guardian #1 *
Your answer
Phone Number for Parent/Guardian #1 (in XXX-XXX-XXXX format) *
Your answer
Email for Parent/Guardian #1 *
Your answer
Name of Parent/Guardian #2
Your answer
Phone Number for Parent/Guardian #2 (in XXX-XXX-XXXX format)
Your answer
Email for Parent/Guardian #2
Your answer
Name of Emergency Contact #1 (should we be unable to reach the parent/guardian) *
Your answer
Phone Number for Emergency Contact #1 (in XXX-XXX-XXXX format) *
Your answer
Name of Emergency Contact #2 (should we be unable to reach the parent/guardian) *
Your answer
Phone Number for Emergency Contact #2 (in XXX-XXX-XXXX format) *
Your answer
Name of Emergency Contact #3 (should we be unable to reach the parent/guardian)
Your answer
Phone Number for Emergency Contact #3 (in XXX-XXX-XXXX format)
Your answer
Any other information you feel it is important for us to be aware of should your child attend the TGS summer program.
Your answer
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