Summer 2023 Lodi USD Pre-Registration Form
Please provide your information here so that Lodi Unified School District can verify your eligibility for school district-sponsored participation in the Pacific Summer High School Institute. Once your details are verified, you will get email notification and you can register on the main registration portal of the summer institute.
Please note that current 8th–11th graders are eligible (who are freshmen to seniors in Fall 2023).
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Student First Name *
Student Last Name *
Student Date of Birth *
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Student's Current School *
Student's Grade Level (AS OF FALL 2023) *
Student ID Number *
Contact Information
Please make sure to submit the parent's email address and phone number and NOT the student's school email address as the registration email may not go through to this latter address.
Parent Email Address *
Parent Phone Number *
Why are you interested in enrolling into the 2023 Pacific Summer High School Institute? How do you plan to use this experience to further your educational goals? *
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