JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Glasgow Summer Enrichment
Glasgow Middle will run an academic enrichment camp from June 3-20 from 8AM-12PM each day. Students will also have elective offerings during this time from Glasgow teachers and members of our Boys and Girls Club team. The afternoon portion from 12:30PM until 5PM will be provided by Boys and Girls Club. Breakfast, lunch, snacks and transportation are provided daily.
* Indicates required question
Email
*
Record my email address with my response
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade Level for 2024-2025
*
7
8
Parent/Guardian Name:
*
Your answer
Parent/Guardian Contact Number:
*
Your answer
Parent Email Address:
*
Your answer
Emergency Contact #1 and Contact Phone Number:
*
Your answer
Emergency Contact #2 and Contact Phone Number:
Your answer
Does your child currently have prescribed medications to manage the any of the following condition(s)? Food Allergy, Other Allergy, Diabetes, Asthma, Other Diagnosis. If YES to any of these, please list out the condition(s) and the medications.
*
Your answer
Does you child have a health condition that we need to be aware of?
*
Yes
No
If you answered YES to the health condition question above, please describe:
Your answer
Does your child have any health restrictions that we need to be aware of?
*
Yes
No
If you answered YES to the health restriction question above, please describe:
Your answer
Is there anything else (health or otherwise) that you would like us to know about your child?
*
Your answer
Please complete the
REGISTRATION
to Boys and Girls Club
*
I am aware that I need to register with Boys and Girls Club.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of East Baton Rouge Parish Schools.
Report Abuse
Forms
