Summer LEAP 2013 Registration Form
After filling in and submitting your contact information, you will see the words "Thanks for submitting the form. Your child is now registered for our online Summer LEAP Program." If you don't, please try again or contact your school building. Be sure to join us for our kick off meeting on June 19th at 6pm in the JD George Media Center where you will receive all the info you need to participate.

Student's First Name

Student's Last Name

Current Teacher

Current Grade Level

Building
W.A. Wettel Elementary
J.D. George Elementary
E.A. McAllister Elementary

Parent/Guardian First Name

Parent / Guardian Last Name

Best Phone Number for LEAP teacher to reach you if necessary.

Alternate Phone Number

Email

Notes about how you'd like to be contacted if necessary (best times, additional numbers or email addresses)

Address

City

Zip Code

Please Check One or Both:
LEAP Summer Online Program
LEAPbook Summer Online Book Club (for students entering grades 3-6 only)

Will you be attending the June 19 Kickoff? (if not sure, please choose 'no.' You will be welcome to come that evening whichever answer you give now.)
Yes
No

Enter the number below to submit your information.

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