Parent/Guardian Information
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Primary Parent/Guardian
Relationship:
*
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Title:
First Name:
*
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Last Name:
*
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Email Address:
*
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Cell Phone Number:
*
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Home Phone Number:
Work Phone Number:
Second Parent/Guardian
Relationship:
Title:
First Name:
Last Name:
Email Address:
Cell Phone Number:
Home Phone Number:
Work Phone Number:
Address Information
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Address:
*
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City:
*
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State:
*
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Zip Code:
*
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Student Information
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#
First Name
Last Name
Birth Date
Grade
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Emergency Contact Information (Other than Parents/Guardians listed above)
Emergency Contacts
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Title
Relationship
First Name
Last Name
Cell Number
Home Number
Work Number
Order Of Contact
Allowed to pickup
Allowed to make medical decisions
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Account Creation
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Username:
*
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Password:
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ConfirmPassword:
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I/We understand that all participants in the All Saints’ Summer Session agree to abide by the following rules:
Treat everyone (students and teachers) and everything with respect.
Be kind, courteous, and polite.
Use appropriate language and appropriate behavior at all times.
I understand that if a participant refuses to follow these rules, they may be asked to leave the summer session without receiving a refund.
Behavior Consent
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All Saints' Episcopal Day School Message
All Saints' Episcopal Day School Message
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