Konocti Unified Summer Program (K-7) July 6-24, 2020
Modified Summer Program
Academic Intervention Focused on Reading and Mathematics
Remote and Distance Learning Only
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Student-First Name *
Student- Last Name *
Current Grade Level (2019-20 school year) *
Parent or Guardian-Full Name *
Parent or Guardian-Phone Number *
Parent or Guardian - Email Address
Preferred Instructional Method
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As a parent/guardian, I understand and accept that I will support my child in this distance learning intervention model and will ensure that he / she participates daily as part of summer program attendance (1 hour daily - Monday thru Thursday). *
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