Editing previous response:

Please fix the highlighted areas below before submitting.

Grade Summer Bridge (Rising 9th Grade)

If you want to enroll more than one child, please complete this form individually for each.

If you need help completing this form, please contact your school office.

Enrollment Period | March 28- May 3

Student Information | Información del estudiante | macluumaadka ardayga

First Name | Nombre | Magaca Hore*

Answer Required

Last Name | Apellido | Magaca Dambe*

Answer Required

Student Hiawatha Email Address | Dirección de Correo Electrónico de Hiawatha | Cinwaanka Emailka Ardayga ee Hiawatha

Answer Required

Parent/Guardian Information | Información del Padre/Madre/Guardián | Macluumaadka waalidka

First Name | Nombre | Magaca Hore*

Answer Required

Last Name | Apellido | Magaca Dambe*

Answer Required

Email | Dirección de correo electrónico | Emailka

Answer Required

Primary Phone Number | Número de teléfono principal | Lambarka Taleefanka koobaad *

Number Required

Secondary Phone Number | Número de teléfono Secundario | Lambarka Taleefanka labaad

Number Required

Emergency Contact Name | Nombre del Contacto de Emergencia | Magaca Xiriirka Degdega ah*

Answer Required

Emergency Contact Phone Number | Número de Teléfono del Contacto de Emergencia | Telefoonka Xiriirka Degdega ah*

Number Required

Do you anticipate your student missing any days of the summer program due to current plans? If so, please share what days you anticipate they will miss? | ¿Anticipa usted que su estudiante faltará a cualquier día del programa de verano debido a planes actuales? Si si, por favor comparta que días usted anticipa que ellos faltarán a la escuela. | Miyaad rajeyneysaa in ardaygaagu ka maqnaado maalmo ka mid ah barnaamijka xagaaga qorshooyinka jira awgood? Hadday sidaas tahay, fadlan la wadaag maalmaha aad filayso inay ka maqnaanayaan iskuulka?

June 19, July 4 & 5 are holidays and there will be no summer school

Answer Required

Confirmation Email

Email Required