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FAST TRACK
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FAST TRACK SUMMER SESSION
FAST TRACK LOCATION
STUDENT FIRST NAME 
STUDENT LAST NAME 
STUDENT ID (IF KNOWN) 
DATE OF BIRTH 
STREET ADDRESS 
APT # 
CITY 
ZIP CODE 
CURRENT SCHOOL 
STUDENT WILL BE IN 9TH GRADE IN THE FALL OF 2020
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 
IN THE EVENT THE PARENT/GUARDIAN CANNOT BE REACHED
EMERGENCY CONTACT NAME 
EMERGENCY CONTACT PHONE NUMBER  
Fast Track Scholars will have three 60-minute classes per day. Each student will take a High School Readiness class and then have a choice for the other two classes. Choose ONE for class choice #1.
CLASS CHOICE #1
Fast Track Scholars will have three 60-minute classes per day. Each student will take a High School Readiness class and then have a choice for the other two classes. Choose ONE for class choice #2.
CLASS CHOICE #2
MY STUDENT HAS MY FULL SUPPORT AND CONSENT TO PARTICIPATE IN THE 2020 FAST TRACK 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 FAST TRACK SUMMER PROGRAM THAT THE STUDENT WILL ATTEND ALL SESSIONS, WORK HARD WITH THEIR GROUP, COOPERATE, AND BE 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 

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