The Legacy Project of Stark, REMIX sign up
PLEASE READ ALL INFORMATION! Contact Jenn Warner 330-704-8007 with any questions.

All programs meet at The 708, 708 Tremont SW, Massillon OH 44647.  You will be contacted with additional information based on your responses.  

Program costs are as follows:  
REMIX: $100.  Scholarships are available. Every Saturday from June 18-August 27 (except July 2.) Payment can be made by visiting lpstark.org and clicking the donate button.  Please select REMIX when choosing Payment. You may also mail a check made out to "The Legacy Project of Stark" to 708 Tremont SW, Massillon OH 44647.

If requesting a scholarship, an additional application will be sent to the email address used to sign up your student. PLEASE NOTE: If your student has previously received a scholarship and has not met the attendance requirements (5 out of 10 weeks), they will not be eligible for a full scholarship.

Program Descriptions/Times:

REMIX: 11:00AM-2:00PM (4th-8th grade)
REMIX: is for 4th-8th grade students and meets on Saturday's from 11:00AM-2:00PM.  Students must bring a packed lunch and a drink.  At REMIX students will participate in various activities, and take part in small group mentorship discussions. Activities will include guest speakers, community partners, arts and crafts, and games.


Sign in to Google to save your progress. Learn more
Email *
Dates my student WILL NOT be to attend: We realize that dates may change, but please only register your student if you can ensure that they will attend a minimum of 5 out of 10 weeks of the session.   *
Required
Is there anything specific you would like your student to learn or work on during the summer at REMIX? *
Is there anything you want us to know about your student to best serve them? (This can be anything from behavioral concerns to something they are passionate about. Anything you feel would be helpful for your students mentor to know.) *
Student T-shirt size (adult sizes) *
Student's Preferred Name *
Payment Option (Due by program start date) *
Student Address (including city and zip code) *
I understand that I will be required to provide lunch for my student each week on Saturday's. *
I understand that payment must be made no later than the first date of program or my students registration will be cancelled *
Student's grade for the 2022-2023 school year (The grade they are going in to) *
I understand that my student must be dropped off at REMIX between 11:00AM-11:15AM, and picked up between 1:45PM-2:00PM. Transportation will not be provided by The Legacy Project of Stark. *
Student School District *
Parent Name *
Parent Phone Number *
I understand that additional medical forms will be EMAILED to me once payment is made.  These forms will need to be turned in prior to my students first week in a program. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy