Title VI Summer School Registration

Title VI Summer School Registration
Parent's Name
Address
Cell #
Email
example@example.com
special needs ( Allergies, Medical)
Childs name
School
Grade starting in Fall
PHOTO PERMISSION SLIP
We will also be taking pictures of our students involved in activities relating to summer school and publishing them in our newsletter, website or partners' newsletters and websites. Please sign below if you give your permission for your student to attend these classes and if we have your permission to use Photos of your children.
Parent or Guardian Signature

Clear
Do you want to help with an event or activity?
YES
NO
Should be Empty: