Special Education Extended School Year Program Application 2018

Post

ESY is available only to special education students who have active IEPs that indicate ESY as a service.

June 25, 2018 – July 20, 2018 (Monday thru Friday)

(ELEMENTARY/MIDDLE/HIGH SCHOOL)

No High School Credits Will Be Offered

Student Information
Bus Transportation
Pick-up Address
Drop-off Address
Emergency Information

Emergency Contacts

In case of illness, emergency or accident and parent/guardian cannot be located; the following adults are authorized to act on behalf of the parent/guardian.  (Please enter two names of local neighbors, friends, relatives, or sitters.)

Emergency Contact 1
Emergency Contact 2

In the event of an accident or other emergency when a parent is unavailable, a school representative may make arrangements as he/she considers necessary for the child to receive medical or hospital care. 

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