JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer School Registration
Summer School will run from May 28 - June 21.
Breakfast and lunch will be FREE again this summer.
Please register each student attending individually.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student Birth date
*
MM
/
DD
/
YYYY
Grade Students will be entering next year
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Parent 1 Name
*
Your answer
Parent 1 Contact number
*
Your answer
Parent 2 Name
Your answer
Parent 2 Contact
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Please list all siblings that are attending summer school and their grade level.
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gasconade County R-1 School District.
Report Abuse
Forms
