J.D. Parker School of Science, Math, & Technology
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Summer Half-Day Camp
Student Name: *
Student grade-level this school year (2019-2020) *
Current Teacher *
Which 2 week session are you registering for?       Space is limited, only 36 students per session.  Confirmation letters will be sent home to the first 36 students registered in each session. *
How will your child be leaving camp at 1pm? *
Is the yellow medical card in JDP clinic up to date with medical concerns, allergies, and contacts? *
Parent/Guardian Name: *
Parent/Guardian Contact Phone: *
Parent/Guardian Email for program info and updates *
   To ensure an effective, productive program for all participants school-wide behavior expectations must be followed.   By selecting YES below you and your child agree to the expectations.  Failure to adhere to the expectations will result in parent/guardian contact and the possibility that your child will be removed from the program.             Expectations:  Student will attend on a regular basis, everyday, unless otherwise communicated by a parent/guardian. Students who miss two or more sessions risk being removed from the program.  School-wide behavioral expectations are expected to be followed at all times, during all activities and transitions. *
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