Summer Boost Registration 2026
Summer Boost Programming will run from June 1 through July 3. Hours will be 8:00am-2:00pm. To be eligible, learners cannot miss more than 4 days throughout programming and must have at least no more than 5 unexcused absences from this school year. If you learner has missed more than 5 days this year, we will review on a case-by-case basis.
Parent/Guardian Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
*
Rows
Name
Phone number
Relationship to learner
Emergency Contact #1
Emergency Contact #2
Emergency Contact #3
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Fill in each learner that will attend, otherwise leave blank
Learner Name
I consent for my learner(s) pictures to appear on Encompass platforms (photos and videos from summer boost)
*
YES
NO
I consent for my learner(s) to receive basic first aid care
*
YES
NO
Learners who attend 75% of the days each week will take a Field Trip every Friday! I consent for my learner(s) to attend all field trips.
*
YES
NO
I understand that my learner cannot miss more than 4 days TOTAL for summer programming and commit to ensure they are there on time every day.
*
YES
NO
My learner(s) will miss days
If you have a planned vacation or know days your learner(s) will miss, please list them here:
My learner(s) will require transportation
*
YES
NO
Address for Transportation pick-up and drop-off
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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*
Submit
Submit
Should be Empty: