RISING GR 1-5 @WHITTIER
In This Section

GENERAL SUMMER SESSION
SUMMER SESSION LOCATION
STUDENT FIRST NAME 
STUDENT LAST NAME 
STUDENT ID (IF KNOWN) 
DATE OF BIRTH 
STREET ADDRESS 
APT # 
CITY 
ZIP CODE 
CURRENT SCHOOL 
ALSO KNOWN AS "RISING" GRADE. THIS IS NOT THE GRADE YOUR CHILD IS IN RIGHT NOW!
GRADE IN THE FALL OF 2020 
HAS THE STUDENT EVER PARTICIPATED IN GEMS/GISE/STEM/GENERAL SUMMER SESSION?
IF SO, WHICH PROGRAM & WHEN?
 
DOES THE STUDENT CURRENTLY RECEIVE ACADEMIC SUPPORT SUCH AS SPEC ED, TITLE 1, AFTER SCHOOL, ELL (HOME LANGUAGE), OR ADVANCED LEARNER?
IF YES, PLEASE LIST SUPPORT SERVICES
 
GUARDIAN 1 FIRST NAME 
GUARDIAN 1 LAST NAME 
GUARDIAN 1 PHONE NUMBER 1  
GUARDIAN 1 EMAIL 
GUARDIAN 2 FIRST NAME 
GUARDIAN 2 LAST NAME 
GUARDIAN 2 PHONE NUMBER 1  
GUARDIAN 2 EMAIL 
**IF YOU HAVE A PERMANENT ADDRESS CHANGE OR NEED TO CHANGE TRANSPORTATION AT A LATER DATE, SEND AN EMAIL TO: SUMMERSESSION@MPLS.K12.MN.US**
DO YOU NEED SUMMER TRANSPORTATION?
STREET ADDRESS/CITY/ZIP CODE. IF YOU SAID YOU DID NOT NEED TRANSPORTATION, PLEASE ENTER "NONE" IN THIS REQUIRED FIELD
PICK UP ADDRESS 
PICK UP CONTACT NAME 
PICK UP CONTACT PHONE NUMBER  
STREET ADDRESS/CITY/ZIP CODE. IF YOU SAID YOU DID NOT NEED TRANSPORTATION, PLEASE ENTER "NONE" IN THIS REQUIRED FIELD
DROP OFF ADDRESS 
DROP OFF CONTACT NAME 
DROP OFF PHONE NUMBER  
OTHER TRANSPORTATION REQUESTS WILL BE REVIEWED BY THE TRANSPORTATION COORDINATOR AND ARE NOT GUARANTEED
OTHER TRANSPORTATION REQUESTS OR DETAILS 
MY STUDENT HAS MY FULL SUPPORT AND CONSENT TO PARTICIPATE IN THE 2020 SUMMER SESSION PROGRAM. I HAVE READ OVER THE MATERIAL AND PLEDGE MY EFFORT TO HELPING MY STUDENT BE SUCCESSFUL IN THE PROGRAM. I UNDERSTAND THAT AN ONLINE SUBMISSION OF THIS FORM INDICATES CONSENT AND SERVES AS A SIGNATURE.
CONSENT
STUDENTS WORK COLLABORATIVELY IN PROJECT AND PROBLEM BASED COURSES. CONSISTENT ATTENDANCE FOR THE FULL PROGRAM IS ESSENTIAL. WE PLEDGE THAT IF ADMITTED INTO THE 2020 GEMS/GISE/STEM OR REGULAR SUMMER PROGRAM THAT THE STUDENT WILL ATTEND ALL SESSIONS, WORK HARD WITH THEIR GROUP, COOPERATE AND RESPECTFUL WITH ALL PARTICIPANTS AND ADULTS IN THE PROGRAM AND BE AN AMBASSADOR FOR THE PROGRAM AT ALL PUBLIC EVENTS.
ATTENDANCE EXPECTATIONS AND PLEDGE OF COMMITMENT
TYPE YOUR SIGNATURE
PARENT/GUARDIAN ELECTRONIC SIGNATURE 
Looking for more fun and learning this summer after the summer session day is over? Community Education offers enrichment programs around the city. Check the box below if you’d like more information.
 

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