2021 Warren County R-III Elementary Summer Enrichment Program Registration

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Please fill out a separate form for each child. A link will be provided at the end of this form to enroll additional students.

Warren County R-III Summer Enrichment Programs:

Dates:
July 12- July 15
July 19-July 22
July 26-July 29
Each program will be one week (4 days) in length. Monday-Thursday

Location: Daniel Boone Elementary

Times- 7:45 a.m.-11:15 a.m.

Who can attend:
Students entering First through Fifth grade are eligible to attend.

Transportation is not provided for the enrichment program and is the responsibility of the parents.

The programs must meet a minimum number of participants in order to be held.

Each program will be limited to 30 students per session.

Email addresses are being collected by this form in order to send responses and for the school to communicate with you about your child.

Email *

Student's Legal First Name *

Student's Legal Last Name *

Please select your student's current grade level for the 2020-2021 school year. *

Parent/Guardian First and Last Name *

Parent/Guardian Phone Number *

Street Address *

City, State, Zip Code *

I will allow pictures to be taken of my student during participation in the Warren County R-III Enrichment Program. Selected photos may be featured on the District Social Media Pages, District Website, and/or the local newspaper. *

Yes

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