Kewaunee School District

Summer School 2017

Please return registration forms and fees to your child’s classroom teacher or the Kewaunee Grade School Office. If you choose to mail in your registration and fees please send to:

Kewaunee Grade School

Attn: Sandy Morton or Kacy Rohr –Summer School Coordinators

921 Third Street

Kewaunee, WI 54216

  • Make checks payable to: Kewaunee Grade School
  • Please write one check per family
  • Registration deadline : May 1, 2017
  • If a class is full, your child will be registered for their second choice
  • If a class does not register the minimum number of students required to run, your child will be registered for their second choice
  • Confirmation notices will be sent home with your child by May 22nd

Schedules: Course dates and times may vary and are listed along with the course descriptions. The majority of the classes will run Mondays-Fridays June 12-23 from 8:00-11:00 am.

Drop off and pick up locations: Please drop off and pick your child in the bus loading zone area in the back of the grade school building. The children should enter and exit using these doors only for the entire length of the summer school program.

Invite only programs vs general courses: Please note that some offerings are listed as invite only. If your child is being invited to one of these programs, a letter explaining the course will be sent home along with the summer school brochure. Also, courses will have a required range of grade levels completed and a maximum number of students allowed.

Transportation and attendance: It is your responsibility to transport your children to and from summer school. Please do not drop off your child more than 5 minutes before the class start time. Please be prompt in picking up your child. It is important for your child to attend classes daily. If your child has a planned absence, please notify your child’s summer school teacher.

It is our goal to make summer school a wonderful experience for everyone involved!

If you have any questions or concerns, please contact Kacy Rohr or Sandy Morton at 388-2458.

Kewaunee School District

Summer SchoolJune 12th- June 23rd 2017

Registration, Insurance, & Emergency Contact Form

Student name______

Age______Grade entering in Fall______

Parent/Guardian name______

Daytime phone #______Cell #______

Email Address:______

My child will: ______be picked up ______walk

Class Choices

First Choice

Session 1 (8:00-9:30) Course Title______Fee______

Second Choice

Session 1 (8:00-9:30) Course Title______Fee______

First Choice

Session 2 (9:30-11:00) Course Title______Fee______

Second Choice

Session 2 (9:30-11:00) Course Title______Fee______

Insurance: The Kewaunee School District Summer School program assumes no responsibility for accidents or illnesses. In the unlikely event of an emergency, please list the name and number of a person to contact:

Name______Number______

Permission to Treat: We/I the parent of ______give permission for emergency medical treatment of this child in case of illness or accident. I understand that the Kewaunee School District assumes no responsibility for accidents or illness.

Signature______Date______

Distrito Escolar de Kewaunee

Escuela de verano 12 de junio al 23 de junio, 2017

Registro, seguro y formulario de contacto de emergencia

Nombre de estudiante______

Edad ______Grado cuándo entrará en el otoño______

Nombres de padres/tutores______

Teléfono del día #______Celular #______

Correo electrónico:______

Mi hijo: ______será recogido ______caminará

Opciones de clase

Primera opción

Sesión 1 (8:00-9:30) Titulo de clase ______Cuota______

Segunda opción

Sesión 1 (8:00-9:30) Titulo de clase ______Cuota ______

Primera opción

Sesión 2 (9:30 – 11:00) Título de clase ______Cuota ______

Segunda opción

Sesión 2 (9:30-11:00) Título de clase______Cuota ______

Seguro de salud: El programa del verano del distrito escolar deKewaunee no asume ninguna responsabilidad por accidentes o enfermedades. En el improbable caso de una emergencia, por favor, indique el nombre y número de una persona para llamar:

Nombre______Número______

Permiso para tratar: Nosotros/Yo el padre de ______da permiso para el tratamiento médico de emergencia de este niño en caso de enfermedad o accidente. Entiendo que el distrito escolar de Kewaunee no asume ninguna responsabilidad por accidentes o enfermedades.

Firma______Fecha______