Tri-County R-7 2021 Summer School Registration Form
Please fill out this registration form for Summer School and be sure to provide all of the information requested. If you are only registering one student, you do not need to fill out the Student #2 and Student #3 sections. If you are registering more than one student, please provide all required information for each student.
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Student #1 First and Last Name *
Current Grade for Student #1 *
Student #1 Date of Birth *
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Student #1 Home Address *
Student #1 Parents' Names *
Student #1 Parent Cell Phone Numbers *
Student #1 Parent Work Phone Numbers *
Student #1 Emergency Contact Information (Name, Relationship, Phone Number) *
Will Student #1 be riding the bus? *
Please list all names of people and that are allowed to pick Student #1 up from Summer School? Please list their relationship to student as well. *
Student #1: Please list any medical needs below, including allergies, or any health impairments.  Please be aware that a nurse will not be on duty during summer school. *
Student #2 First and Last Name (if registering multiple students)
Current Grade for Student #2
Student #2 Date of Birth
MM
/
DD
/
YYYY
Student #2 Home Address
Student #2 Parents' Names
Student #2 Parent Cell Phone Numbers
Student #2 Parent Work Phone Numbers
Student #2 Emergency Contact Information (Name, Relationship, Phone Number)
Will Student #2 be riding the bus?
Clear selection
Please list all names of people and that are allowed to pick Student #2 up from Summer School? Please list their relationship to student as well.
Student #2: Please list any medical needs below, including allergies, or any health impairments.  Please be aware that a nurse will not be on duty during summer school.
Student #3 First and Last Name (if registering multiple students)
Current Grade for Student #3
Student #3 Date of Birth
MM
/
DD
/
YYYY
Student #3 Home Address
Student #3 Parents' Names
Student #3 Parent Cell Phone Numbers
Student #3 Parent Work Phone Numbers
Student #3 Emergency Contact Information (Name, Relationship, Phone Number)
Will Student #3 be riding the bus?
Clear selection
Please list all names of people and that are allowed to pick Student #3 up from Summer School? Please list their relationship to student as well.
Student #3: Please list any medical needs below, including allergies, or any health impairments.  Please be aware that a nurse will not be on duty during summer school.
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