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* 1. Enter you child's first and last name

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* 2. What grade did your child just attend?

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* 3. Enter parent first and last name

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* 4. Enter parent contact number

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* 5. Will your child attend the summer program?

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* 6. How will your child get to and from school during the summer program?

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* 7. If your child will be riding the bus, what is your address?

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