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Summer Learning Registration - Class of 2025
Please complete the following information to register your student for Summer Learning by May 13.
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* Indicates required question
Parent/Guardian's Name
*
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Parent/Guardian's Phone Number - #1
*
Your answer
Parent/Guardian's Phone Number - #2
Your answer
Parent/Guardian's Email Address
*
Your answer
Emergency Contact Name - #1
*
Your answer
Emergency Contact Phone Number - #1
*
Your answer
Emergency Contact Name - #2
*
Your answer
Emergency Contact Phone Number - #2
*
Your answer
Please list any health conditions or allergies that affect your child
*
Your answer
Will the student be a bus rider?
*
Yes
No
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