Academic Summer Program Waiting List 2022
Please complete for students interested in Academic Summer Program: July 2022.  If family does not have an email, put no@noemail.com in email section below.
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Parent e-mail Address *
Student First Name *
Student Last Name *
Student ID
Grade Level - Incoming *
Contact Name
Contact Phone Number
Contact Primary Language
Current School
Student is in Special Education
Clear selection
Requested Academic Summer Program
Clear selection
I am willing to attend a site other than my requested site
Clear selection
If there is availability, would your student be interested in enrichment programs in June, July, and/or August? (optional) *
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