Virtual Elem Summer Basic Skills Application for  Elementary School
To get started, please indicate your email address to receive communications and updates regarding the summer school program.                                                                                              
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Meil *
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Program Dates:  June 22, 2020 - July 23, 2020
Student’s Last Name *
Student’s First Name *
Student’s Middle Initial
NPS Student ID Number (NOT their social security number) *If known
Current Grade Level *
Home School: (for 2019-2020) *
Teacher (Homeroom) *
Room # *
Please indicate your permission for your child to participate by marking one of the options below: *
Street Address: *
City: *
Zip Code: *
Telephone Number - Home *
Telephone Number - Work
Telephone Number - Emergency *
I would like for my child to participate in the Virtual Summer Basic Skills Program at the following time (pick one time) on Monday thru Thursday June 22 - July 23.   *
Kohustuslik
Summer Schedule
Your child will need a device and Internet service to participate in the Virtual Summer School Program.  Please answer each of the following questions. *
Yes
No
My child needs a computer:
My child needs access to the Internet:
My child has an IEP on file *
Parent/Guardian Signature:  Please type your first and last name below to indicate that your child has permission to participate in the Virtual Elementary Summer Basic Skills Program for (Elementary School Name). *
IMPORTANT: THIS FORM MUST BE RECEIVED ON OR BEFORE JUNE 9, 2020
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