UHS Summer Credit Recovery
Summer Credit Recovery will be June 17th-July 25th. No School June 19th or July 4th. 
 Monday-Thursday 8:00am-2:30pm @ UHS
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Student Name/Nombre del estudiante *
Student Phone Number/ Numero Telefono del estudiante *
Student Current Grade/Grado actual *
Address/Direccion *
How will your student get home?
Como llegara su estudiante a casa?
*
Is bussing needed?
Se necesita transporte en autobus?
*
Bussing address(if different than above)
Direccion de transporte(si es diferente a la anterior)
IEP/Medical(if any)
IEP/Medico(si corresponde)
Emergency Contact 1 /Contacto de emergencia 1 
Emergency Contact 2/Contacto de emergencia 2
Please list the credits that you need to complete

Parental/Guardian Agreement:

I understand that if my child is having any discipline problems, my child may be exited from the program. I understand that my child may be photographed or on video as a part of this program. I give permission for such photos and videos to be used for promotional purposes by the STEAM academy of Umatilla and the Umatilla School District.

Type Parent Name 

Acuerdo de padres/tutores:

Entiendo que si mi hijo tiene algún problema de disciplina, es posible que lo retiren del programa. Entiendo que mi hijo puede ser fotografiado o grabado en video como parte de este programa. Doy permiso para que dichas fotos y videos sean utilizados con fines promocionales por la academia STEAM de Umatilla y el Distrito Escolar de Umatilla.

Firma del Padre

*
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