ENMU Summer Reading and Learning Academy - Application for Children Attending
ENMU Summer Reading and Learning Academy - Application for Children Attending
Child's name
Child's name
*
First
Last
Child's date of birth
Child's date of birth
*
/
MM
/
DD
YYYY
Child's current grade
*
Pre K
K
1
2
3
4
5
Child's current school
*
Parent/guardian name
Parent/guardian name
*
First
Last
Parent/guardian phone
Parent/guardian phone
*
-
###
-
###
####
Parent/guardian email
*
Emergency contact other than parents
Emergency contact other than parents
*
First
Last
Emergency contact phone
Emergency contact phone
*
-
###
-
###
####
What is your child's current reading level? Please ask your child’s teacher, if you do not know.
*
Does your child have an IEP or 504 plan?
*
Does your child have an IEP or 504 plan?
Yes
No
Are there any dates that your child will NOT be attending the Reading and Learning Academy? Please list the dates.
*
Are there any dates that your child will NOT be attending the Reading and Learning Academy? Please list the dates.
Yes
No
Please list the dates
*
Please share questions or important additional information you would like us to know
Submit