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Grades 4 - 8 Summer School 2024
This enrollment form is only for students who are going into Grades 4-8 during the 2024-2025 school year. Please fill out one form for each child you need to enroll.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade Level for the 2024-2025 School Year
*
4th
5th
6th
7th
8th
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity
*
White
Black
Hispanic
Pacific Islander
Asian
Other:
Gender (as reported in PowerSchool)
*
Male
Female
What school district does your student attend?
*
Cameron R-1
Other:
Parent Name(s)
*
Your answer
Mother's/Father's Cell Phone # (Example: Mom: xxx-xxx-xxxx/Father: xxx-xxx-xxxx)
*
Your answer
Parent Email
*
Your answer
Home Address
*
Your answer
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