Summer Program Enrollment Form

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The elementary Summer Enrichment Program is available for students entering kindergarten through 6th grade in the fall of 2021. Incoming students in grades 7 through 12 in the fall of 2021 can participate in the high school Fitness Program but must be picked up by a parent and/or guardian at 11:00 AM daily. (Students entering 6th through 8th grade will be eligible for the Summer Zone program. The registration information will be forthcoming from Megan Harrington, guidance counselor in the Junior Senior High School. All questions regarding this program should be directed to her at mharrington@hcs.stier.org.)

PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD IN THE SUMMER ENRICHMENT AND SUMMER FITNESS PROGRAM.

Email *

LAST name of child - each child must be registered SEPARATELY on a different form. *

FIRST name of child - each child must be registered SEPARATELY on a different form. *

Parent/Guardian Name (last name, first name) *

Email contact for parent/guardian *

Phone number for parent/guardian *

Mailing Address for parent/guardian *

Incoming Grade of child in the 2021-2022 school year. *

7-12 (Summer Fitness Program)

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