SMSD SPRING 2024 Intersession Student Registration

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-Spring Intersession will be held Monday, March 18th - Friday, March 22nd from 8:00 a.m. - 3:00 p.m.

-DEADLINE TO REGISTER is Feb. 13, 2024. Students must attend all three days to attend the field trips scheduled for Thursday and Friday. No late arrivals or check-outs.

Cell phones will not be allowed during intersession.

- Transportation for students will be provided to and from school each day.

- Students will be provided breakfast and lunch each day.

Complete this form to register your child for the SPRING Intersession.

*This form is to be completed for ONE child. Fill out additional forms for additional children.

You may contact your building principal if you have questions.

Gender (Data Purposes) *

Female

Male

Ethnicity (For data purposes only)
*

White

African- American

Hispanic

Asian

Native Hawaiian or Pacific Islander

Native American

Please check the school your child attends. *

Senatobia Middle School

Senatobia High School

Child Name *

Child's Grade *

6th

7th

8th

9th

10th

11th

12th

All students will participating in one elective session. Choose the elective your child would be interested in. (Please note, that your child is not guaranteed their selection if the class does not meet enrollment.) *

Cursive Writing and Poetry

Books, Breathe, and Yoga

Breakout Escape Rooms

Art and Observation Camp

So You Think You can Dance

Volleyball Camp

All students will participating in one elective session. Choose the 2nd choice elective your child would be interested in. (Please note, that your child is not guaranteed their selection if the class does not meet enrollment.) *

Cursive Writing and Poetry

Books, Breathe, and Yoga

Breakout Escape Rooms

Art and Observation Camp

So You Think You can Dance

Volleyball Camp

Parent/Guardian Name *

Parent/Guardian Street Address *

City/State/Zip *

Parent/Guardian Phone (Home and Cell) *

Parent/Guardian Email Address *

Parent/Guardian Place of Employment (Type N/A if none) *

Parent/Guardian's Employment Phone Number (Type N/A if none) *

Emergency Contact Name and Number (must be in the student's school file) *

How will your child be transported to/from Intersession? *

Bus

Dropped off/Picked up by parent

Other:

Are there any special considerations needed for your child (IEP, allergies, medications, etc.)? Type "none" if special considerations are not needed for your child. *

Parent Signature (type your name): By typing my name below, I understand that my child must adhere to all SMSD policies/procedures as outlined in the Parent/Student Handbook and consent to my child attending the SMSD Fall Intersession. *

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