Grade 3-8 Summer School Registration

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Please complete each entry below. Provide your electronic signature. Summer school begins Monday, June 21, 2021 and ends on July 23, 2021. Classes are scheduled from 7:30 AM - 2:00 PM Monday - Thursday. Monday, July 4 is a designated school holiday; therefore, classes will be held on Friday, July 9 to fulfill the 20 day attendance requirement.

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Student's Last Name *

Student's First Name *

Grade (2020-2021) *

Parent's Last Name *

Parent's First Name *

Parent's Email

Mailing Address *

Zip Code *

Daytime Phone Number *

Evening Phone Number *

Alternate Contact Person with Phone Number *

My child will be the following for summer: *

Bus Rider

Car Rider

Walker

By selecting the "I Accept" button , you are signing the Agreement electronically. You agree your electronic signature is the legal equivalent o your manual signature on this Agreement. *

I Accept: I would like to sign this document electronically.

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Type your name and the date here: *

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