2022 Summer Tribe Time Application -MS/HS
Chickasaw Middle and High -  21st Century CCLC Program

Tribe Time operates June 8- July 14 - Monday - Thursday 8:00 a.m. - 1:00 p.m. Breakfast and Lunch will be served each day.

For students currently in 5th grade through 11th grade.  

There will be a MANDATORY parent meeting that MUST be attended in order for your child to begin Summer Tribe Time on May 23, 2022 at 5:00 pm. The meeting will be held in the CHS cafeteria.  

If you have questions, please email klancaster@chickasawschools.com or kgraham@chickasawschools.com
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Email *
Parent Name *
Parent Email Address *
Student Last Name *
Student First Name *
Student Birthdate *
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DD
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Student Gender *
Phone Number *
Grade (The grade level for the 2022-23 school year) *
Race *
Does your child receive Special Education Services *
List any special medical condition that may need care during the course of after school activities(Include Allergies) if none type n/a *
Dismissal is at 1:00 pm. Students must be picked up at 1:00.  Students who walk home must have written permission to walk home. How will your child get home? *
Emergency Contact Name *
Emergency Contact Phone Number *
A copy of your responses will be emailed to the address you provided.
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