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St. Clare Summer Reading Program Registration
Summer 2023 Registration
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* Indicates required question
Parent Name, First and Last
*
Your answer
Student Name, First and Last
*
Your answer
Grade for 2023-2024
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2nd Grade
3rd Grade
4th Grade
Required
Allergies
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
Who will pick up the student after the session?
*
Your answer
Emergency Contact Information
*
Your answer
What are you most interested in seeing improvement for your child with this program?
*
Your answer
Would you please indicate if you are willing to be contacted by the Summer Program teachers about signing up for bringing a snack for the class?
Your answer
The registration fee is $10 for this program. If you would like consideration for a fee waiver, please click yes.
Yes
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