Elementary Summer Learning Program Registration

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This form is required to be registered for the Summer Learning Program.

The summer program will begin the week of June 14th, and it will be held from 9:00-12:00 on Tuesdays, Wednesdays, and Thursdays through the week of July 26th.

A SEPARATE REGISTRATION FORM IS REQUIRED FOR EACH CHILD.

Student Name: *

Grade level for this current school year: *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

School Location for the Summer Learning Program *

Bruin Point Elementary

Castle Heights Elementary

Creekview Elementary

Sally Mauro Elementary

Wellington Elementary

Transportation can be provided by using central pick-up points, which means not all bus stops but a central spot for students to meet at. *

My child is IN NEED of bus transportation. I am aware that my child may need to meet the bus at a central pick-up location.

My child is NOT in need of bus transportation.

Physical Address of student *

Parent/Guardian Name: *

Parent/Guardian Phone Number *

Parent/Guardian Email Address

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