Summer Ram
Rising 9th Grade introductory program @ RVHS - 6/29/2020 - 7/2/2020
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STUDENT'S FULL NAME: *
STUDENT'S ID NUMBER: *
PARENT/GUARDIAN #1: *
PARENT/GUARDIAN #2
PARENT/GUARDIAN EMAIL ADDRESS: *
PARENT/GUARDIAN #2 EMAIL ADDRESS:
PARENT/GUARDIAN PHONE NUMBER: *
PARENT/GUARDIAN #2 PHONE NUMBER:
ALLERGY/HEALTH/MEDICAL CONCERNS: *
IF NONE, PLEASE TYPE NONE.
FRESHMAN MATH COURSE: *
PLEASE ENTER THE MATH COURSE YOUR SON/DAUGHTER WILL TAKE IN 9TH GRADE.
PARENT/GUARDIAN SIGNATURE: *
PARENTAL PERMISSION AND AGREEMENT                                                                                                                                                  • I understand that this program is voluntary; that my child is not required to attend, and he/she may be asked to leave the program due to behavioral or attendance concerns.                                                                                                                                                   * I understand that transportation is not provide by RVHS or LCPS, and I must provide transportation for my son/daughter.            • I understand that the program will be from Monday, 6/29/20, through Thursday, 7/2/20. The program begins each day at 9:00 a.m. and ends at 12:00 p.m.  My son/daughter should be dropped off by 8:55 a.m. and picked up by 12:15 p.m. each day.                                                                                                                                                                                                                   • I understand that if there is an emergency, or I need to make arrangements for my child to be picked up by someone else, I must contact Mr. Frew at ffrew@lcps.org or (703) 554-8900                                                                                                                                                                                                                                                                                        TYPE YOUR NAME BELOW TO ACKNOWLEDGE YOUR AGREEMENT OF THE PROGRAM
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