Chestnut Ridge Virtual Academy Summer School 2024
Further information on Summer School can be accessed via the Guidance Department (jevans@crlions.org).
Student Name *
Student Email *
Grade Level during 2023-2024 School Year *
Does the student have an IEP (Individualized Education Program)
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Do you have an idea of Cyber course(s) you would like to take? *
Do you have high speed internet access at home?
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Would you be in need of a district issued Chromebook? *
Is a parent or guardian at home throughout the school day?
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Parent/ Guardian Contact Information
Primary Parent/Guardian First Name *
Primary Parent/Guardian Last Name *
Primary Parent/Guardian Home Phone *
Primary Parent/Guardian Cell Number *
Primary Parent/Guardian Email *
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