RPS Summer Discovery Zone Enrollment Form

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Hello RPS Families,

As of June 20, 2021, enrollment is CLOSED. If you are still interested, please fill out the form and your child will be put on a waiting list for RPS' Summer Discovery Zone.

Enrollment is now open for Summer Discovery Zone 2021! Programming will be half days, Monday-Thursdays at the JFK Elementary School. This program is FREE for all Randolph students!!

Important Dates:
June 28th - July 1st, 7:45-11:15am - English language learners first week
July 6th-August 5th, 7:45-11:15am, English language learners 7:45-12:15pm

We are very excited to partner with Springboard literacy to incorporate high quality literacy instruction within the Discovery Zone. This includes 5 family workshops to establish relationships between teachers, students, and their families as well as to equip families with reading tips to use with their children at home!

If you have more than one child that will be attending, please complete separate forms for each child.

Questions? Email Beth Fitzgerald, Program Leader fitzgeraldb@randolph.k12.ma.us

Email *

Student First Name: *

Student Last Name: *

Entering Grade: *

Entering First Grade

Entering Second Grade

Entering Third Grade

Entering 4th Grade

Entering 5th Grade

Home School: *

Lyons Elementary School

Donovan Elementary School

JFK Elementary School

Young Elementary School

Student birthdate: *

YYYY

Student Gender: *

Female

Male

Prefer not to say

Student Ethnicity: *

Black

Hispanic

White

Asian

Other

Prefer not to say

Home Language:

English

Haitian Creole

Spanish

Vietnamese

Portugese

Other

Clear selection

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Mobile Phone Number: *

Parent/Guardian Email: *

Parent/Guardian Home Address: *

Does your child receive English language learner (ELL) instruction? ELL students will begin instruction Monday, June 28th. *

Yes

Not sure

Does your child receive special education services? *

Yes

Not sure

Will your child attend Camp Cochato at Belcher Park after Summer Discovery Zone mornings? You must register your child for this program at the end of this survey. *

Yes

Will your child attend the YMCA summer program at JFK elementary after Summer Discovery Zone mornings? You must register your child for this program with the YMCA. *

Yes

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