Enrollment for LORI Enrichment Summer classes June 14th through July 22nd
Sign in to Google to save your progress. Learn more
Email *
Child's name *
Address
Contact *
Emergency  Contact *
Grade level (If more than one choice please select all that applies) *
Required
This program will offer just two major subjects: Math and ELA (English Language Art) *
Three sessions will be offered per week. Please select what days will be convenient to you. *
Required
Classes will start on June 14th through July 22nd.  Each session will begin in the morning from 10 @m to 1Pm. Your child must be there on time. You must be there to pick him/her at the end of each session. *
It will be no charge for this Enrollment Program. *
You are given LORI permission to provide snacks to you child *
List of any known allergies that LORI needs to be aware of. *
Disclaimer: LORI's staff members and volunteers are not responsible to any incident or medical response that may occur during the three hours that your child will spend in our facility. *
Required
Disclaimer: LORI's staff members and volunteers are not responsible to watch or to drop off your child at the end of each session *
Required
I have read and agreed to the following above policies. Please type your name. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Louisiana Organization for Refugees and Immigrants. Report Abuse