Summer School Registration
Child's Name: Date of Birth:
Parent's Name: Phone:
Please check which program your child will join:
Morning – 3 Days Morning – 4 Days Morning – 5 Days
All-Day – 3 Days All-Day – 4 Days All-Day – 5 Days
If you choose 3 days or 4 days please further select the days below:
Monday Tuesday Wednesday Thursday Friday
Please check the box for each week your child will attend our summer school program:
Time School Bus PickUp Bus DropOff
Week 1:
Week 2:
Week 3:
Week 4:
Week 5:
Week 6:
Week 7:
Week 8:
Week 9:
If your child will use the school bus, please answer the questions below:
What is the pick up address:
What is the drop off address:
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