Summer 2024 Lodi Unified School District Pre-Registration Form
Please provide your information here so that Lodi Unified School District can check your eligibility for free registration into the program. Please note that it will take several days, up to a few weeks, to verify your eligibility (enrolled in Lodi USD; attendance, behavior, and academic patterns). Once your eligibility is verified, your parents will receive an email notification to register.
Please note that current 8th–11th graders are eligible (who are freshmen to seniors in Fall 2024).
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Student First Name *
Student Last Name *
Student Date of Birth *
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Student's Current School *
Student's Current Grade Level *
Student School ID Number *
Current GPA *
Why are you interested in enrolling into the 2024 Pacific Summer High School Institute? How do you plan to use this experience to further your educational goals? *
Have you attended the Pacific Summer High School Institute before? *
Check all that applies
Required
CONTACT INFORMATION
Please make sure to submit the parent's email address and phone number, NOT the student's school email address as the registration email may not go through to the latter one.
Parent First Name *
Parent Last Name *
Parent Email Address *
Parent Cell Phone Number *
Please note that messaging rates may apply.
Alternate Phone Number
Please note that messaging rates may apply.
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