Free Summer School Admission Form Template
Summer School Admission Form
Please ensure all fields are completed below.
Student Information
Name
Date of Birth
Grade Level
Address
Parent/Guardian Information
Name
Relationship to Student
Phone Number
Program Details
Preferred Schedule
-
Morning Only (8:00 AM - 12:00 PM)
-
Afternoon Only (1:00 PM - 5:00 PM)
-
Full Day (8:00 AM - 5:00 PM)
Session(s) Attending
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June
-
July
-
August
Does your child have any medical conditions, allergies or take medication?
If yes, please specify
Additional Notes
Please check the box below to proceed
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