JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer Youth Program 2024 Waitlist
Please complete this quick survey in order to reserve your spot on the waitlist.
One submission per student per course reservation.
If space becomes available, we will contact you by order of the waitlist.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
Parent/Guardian Name:
*
Your answer
Parent/Guardian E-mail:
*
Your answer
Phone:
*
Your answer
Site:
*
Hicks Canyon Elementary (June 3 - June 20)
Red Hill Lutheran (June 24 - July 11)
Tarbut V'Torah - Session 1 (June 17 - July 3)
Tarbut V'Torah - Session 2 (July 8 - July 25)
Orange Lutheran (July 8 - July 19)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of California, Irvine.
Report Abuse
Forms
