Summer Academy 2021 Registration
Please complete the following registration form to enroll your child in the JCS Summer Academy Program.
Please note: Summer Academy is free of charge to any JCS student in grades 1-12.
Any questions about the Summer Academy program should be directed to Victoria Howard at victoria.howard3@jacksonind.kyschools.us
(606)666-5164

Week 1 June 8, 9, 10
Week 2 June 15, 16, 17
Week 3 June 22, 23,24
Week 4 July 13, 14, 15
Week 5 July 20, 21, 22
Each day will begin at 9 am and will end at 2 pm.
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Student Name: *
Student's CURRENT Grade: *
Parent(s) Name: *
Parent(s) Contact Number(s): *
Bus Transportation or Pick-Up/Drop Off *
Pick-up/Drop-off address for bus riders. Type NA if bus transportation is not needed. *
The following adults are allowed to pick my child up from the Summer Academy, please list their phone numbers: *
I would like to enroll my child in the following weeks of Summer Academy (Please note: Each week has a different theme for enrichment activities, however there will be a focus on boosting reading and math skills during these 5 weeks of Summer Academy): *
Required
I would like for my cell phone number (listed above) to be added to the Summer Academy Remind list to receive important notifications and reminders by text message during Summer Academy. *
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