Middle School Summer School Application

Student Namerequired

First Name

Last Name

Student Addressrequired

Parent/Guardian Namerequired

First Name

Last Name

Parent/Guardian Email Addressrequired

Parent/Guardian Phone Numberrequired

Emergency Phone Numberrequired

Student's School

Franklin Middle

Hoover Middle

Kenmore Junior/Senior High

Student's Grade Levelrequired(During the 2025-26 school year)

Gr. 5

Gr. 6

Gr. 7

(During the 2025-26 school year)

Student's 9-Digit Ken-Ton ID Numberrequired

Is bus transportation requested?requiredNote: Only students who live 0.75 miles or more from the school are eligible for bus transportation.

Yes

No

Note: Only students who live 0.75 miles or more from the school are eligible for bus transportation.

Does the student have an IEP?required

Yes

No

Unsure

Does the student have a 504 Plan?required

Yes

No

Unsure

I commit to having my child complete the entire program.required

Yes

No

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