In-Person Texas ACE Summer Program 2021: STUDENT APPLICATION
What: Free In-Person Summer Camp for Galveston ISD Students, 9th -12th grade
When: June 1 - July 2, 2021
Where: Ball High (in person)

Once we receive this completed application, you will be notified of status (student enrolled or student on wait list) via email.

*Funded by the 21st CCLC Program administered by the U.S. Department of Education*
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電郵 *
Student Last Name *
Student First Name *
2020-21 Grade *
Does the student have any Medical Issues/Learning Issues/Allergies? *
Parent/Guardian #1 First and Last Name *
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Relationship to Student *
Parent/Guardian #1 Email Address *
Parent/Guardian #2 First and Last Name
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Relationship to Student
Parent/Guardian #2 Email Address
Student Home Address *
I hereby give Galveston ISD permission to use my child’s image and/or work on the district’s TV channel, website and social media, for media purposes and in district publications.  *Please note: Submission of a photo or video will be viewed as permission to share that photo or video. *
Parent/Guardians are responsible for notifying Galveston ISD/Texas ACE of all medical information pertaining to the student on this form. The parent/guardian at home remains responsible for the student's health and safety during virtual activities. (Please check "I agree" for virtual program participation.) *
I give permission for Texas ACE to share student data with our partners, including but not limited to, demographic data and pertinent medical information. (Please check "I agree" for program participation.) *
Typing my name and the date below certifies my understanding of all paragraphs above, and gives my permission for my child to participate in the In-Person Galveston ISD Texas ACE/21st Century Summer Camp 2021. Please type your name and the date: *
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