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888-818-8753

Summer Learning Academy

2025 Registration Form

*Note: If you have more than one child, please complete a seperate form per child

Student First Name

Student Last Name

School

Grade (entering)

Parent / Guardian Name

Parent / Guardian Phone

Parent / Guardian Email

Emergency Contact Phone

I committ that my child will attend summer services regularly and miss no more than three (3) days.

Thanks for registering!

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888-818-8753

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