Oakman Summer Academic & Enrichment program
Registration Form 2021 (in Person)
The program includes both academic and enrichment/innovative activities for students.
Students failing two or more classes in any core courses must be part of the program-we are eliminating the course recovery program for this year.
Oakman Elementary School | Days | Dates | Times (select one from the two options) Length of day |
Grade in 2020-2021: 1st Grade | Monday-Thursday | 6/23-8/13 | 9 am- 2 pm 9 am-5 pm |
Parental Consent Form Please complete and return By May 7. (this can be sent with students)
Child’s Name_______________________________________________________ Birthdate ______________
Address______________________________________ City _____________________ Zip Code__________
CONTACT Primary Contact Parent/Guardian should be the individual filling out this form.
Primary Contact Parent/Guardian___________________________________________________________
Address ___________________________________________ E-mail _______________________________
Cell Phone _______________________________ Home/office phone _______________________________
Additional Contact Information (Individual who may be contacted in the event parent/guardians listed above can’t be reached.)
Name _______________________________________________Relationship: _________________________ Home Phone _________________________________Cell:________________________________________
List of other individuals allowed to pick up your child from the school. Anyone picking up your child will be asked to show a photo ID before your child will be allowed to leave with them.
__________________________________________________ Relationship___________________________
__________________________________________________ Relationship___________________________
Does the student have an IEP ___ Yes ___ No
Does the student have a 504 plan ___ Yes ___ No
Consent Statement: As the parent/guardian, I certify that my child has my permission to participate in the Oakman Summer Academic and Enrichment program. I understand that photographs and videos may be taken to document activities. I give my permission for photographs and/or videos to be taken of my child during the camp to be used for educational and/or promotional materials for the program. I will follow district and school procedures regarding health screening of my child prior to sending to school.
I understand that I will be notified should a health emergency arise.
If I cannot be reached by telephone, I authorize whatever medical treatment is deemed necessary by medical personnel. My child has the following known medical conditions:
________________________________________________________________________________________
________________________________________________________________________________________
My child takes the following medications: ________________________________________________________________________________________________________________________________________________________________________________
My child is allergic to: ________________________________________________________________________________________ ________________________________________________________________________________________
Other concerns/conditions of which we should be aware: ________________________________________________________________________________________
Parent/Guardian Signature___________________________________________ Date ___________
For online registration, scan the code.