Information About the Columbus City Schools Summer School Programs Can Be Found At

JUNE 19 – JULY 20, 2017

MONDAY - THURSDAY EACH WEEK

The K-5 Summer Learning Opportunity Programs are designed to provide extra support for CCS students in grades K-5 in core academic areas.

Information about The Columbus City Schools Summer School programs can be found at

or by calling

614-365-5010

K-5 Elementary Summer Learning Opportunity Program Information

Description

The Elementary Summer Learning Opportunity program will provide extra support for learners in grades K-5 in the core academic areas of reading, writing and math. Families will have their choice of a traditional, 5 hour per day program, or a Specialty site option, for 7 hours per day of targeted instruction.

Emphasis

The goal of this program is to improve reading, writing and math skills of students who are performing below grade level

Eligibility

K-5 Summer Learning Opportunityprogram is open to students who are currently enrolled in Columbus City Schools and have completed grades K, 1, 2, 3, 4, or 5 during the 2016-2017 school year. Students who live outside of the district are not eligible to enroll in the elementary K-5 Summer Learning Opportunity program.

Programs

Students who register for one of the elementary K-5 Summer Learning Opportunityprograms will be placed in the program of the grade level they completed for the 2016-17 school year. For example, if your child just completed kindergarten, then he/she will be placed in the kindergarten summer program.

Dates

Monday, June 19 through Thursday, July 20, 2017. K-5 will attend Monday through Thursday only.

All Summer School sites will be closed on Tuesday July 4, 2017. On Tuesday July 11, 2017, only grade 3 students taking the AIR assessment will attend.

Class Time

Half Day K-5 summer school begins promptly at 8:00 A.M. and ends 1:00 P.M. (No school on Fridays) for the half day program. K-5 Full Day Specialty programs begin promptly at 8:00 A.M. and ends at 3:00 P.M.

Breakfast and Lunch

All meals must be consumed on site. Food is not allowed to leave the summer school site.

K-5 Program: Breakfast is served at 8:00 a.m. Lunch is served 12:30-1:00 p.m.

Attendance

Daily attendance is required in order for your child to benefit from the summer learning opportunity programs. Every effort should be made to get your child to school on time and ready for instruction. Please call the summer school site before 8:15 a.m. if your child is going to be absent.

Vacations/Camps

Students with vacation or camp plans conflicting with the summerprogram dates are advised not to enroll in the Summer Learning Opportunities program. Vacations and camp are not excused absences.

Discipline

Students are expected to follow all rules and regulations of Columbus City Schools. Discipline issues will be handled as specified in the Columbus City Schools’ Guide to Positive Student Behavior.

Dismissal

K-5 Program: All children who are not taking the bus must be picked up by 1:10 p.m. unless they are participating in the Boys and Girls Club Program. (3:10 p.m. for the full day program) If a student is not picked up on time, it is CCS policy to contact Franklin County Children Services.

Transportation

Students may attend the Summer Learning Opportunityprogram site of their choice. Transportation will be provided by the Columbus City Schools bus transportation department at designated locations for each summer school site. The chart included in this packet shows the bus stops for the selected summer school location.

Materials

All books and materials loaned to students must be returned in satisfactory condition by the last day of class.

Fee

There is no charge for the K-5 Summer Learning Opportunities program for students currently enrolled in Columbus City Schools.

Registrations Forms

The student registration form is located on the CCS website: (

Title I Parent Meetings 8:30a.m.-10:30a.m.

Parents who have children that completed grades K, 1, and 2 and are enrolled in the Summer Learning Opportunities program are required to attend three parent meetings. Each meeting will focus on how parents can help their child at home with reading, writing and math. If you cannot attend, parents are encouraged to send another adult to represent their child. Parents may also attend a parent meeting at another site if it is more convenient. The schedule of parent meetings is included in this booklet.

3rd Grade Specialty Site (Weinland Park)

The goal of this program is to serve 3rd grade students who have not met the requirements of the Third Grade Reading Guarantee (3GRG) and thereby are not eligible to be promoted to the fourth grade.This specialty program will be held at Weinland Park Elementary School from 8:00a.m.-3:00p.m. Monday through Thursday. Students who enroll in this program will participate in morning reading instruction and afternoon extracurricular activities with a focus on improving their reading skill.

2nd and 3rd Grade Specialty Site(Clinton)

Second and Third grade students who enroll in this program will participate in morning reading and math instruction, and afternoon extracurricular activities that include: Lego Robotics, Computers, Multimedia, and History of Sports, Art from Around the World, Drama and Dance.

Grade K – 5 Summer Learning Opportunities Program

Emphasis

The goal of this program is to improve reading, writing and math skills of students who are performing below grade level.

K-5 Elementary Locations:

7 hour Specialty Programs (8:00 a.m. - 3:00 p.m.)

Clinton ES (K-3 only) 10 Clinton Avenue, 43203

Weinland Park (3rd grade only) 211 E. 7th Avenue, 43201

* 5 hour programs (8:00 a.m. -1:00 p.m.)

Avalon ES, (K-2 only) 5220 Avalon Avenue, 43229

Binns ES, 1080 Binns Blvd., 43204

Gables ES, 1680 Beckett Avenue, 43235

Northgate ES, (3-5 only) 6655 Sharon Woods Blvd. 43229

Old Orchard ES, 800 McNaughten Road, 43213

Parsons ES, 3231 Lee Ellen Place, 43207

*Boys and Girls Club Program (1:00 p.m. -4:00 p.m.)

The Boys and Girls Clubs will offer an after school program at the five hour program sites from 1:00-4:00 p.m. Monday thru Thursday June 19 –July 20. To participate in the Boys and Girls Clubs program you must complete a separate application.

K-2 Parent Meeting Schedule 8:30 a.m. – 10:30 a.m.

Summer School Site / Meeting #1 / Meeting #2 / Meeting #3
Avalon / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017
Binns / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017
Clinton / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017
Gables / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017
Olde Orchard / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017
Parsons ES / Wed. June 21, 2017 / Wed. June 28, 2017 / Wed. July 12, 2017

3rd Grade Parent Meeting Schedule 8:30 – 9:30 a.m.

Summer School Site / Date
Avalon / Wed. June 22, 2017
Binns / Wed. June 22, 2017
Clinton / Wed. June 22, 2017
Gables / Wed. June 22, 2017
Northgate / Wed. June 22, 2017
Olde Orchard / Wed. June 22, 2017
Parsons ES / Wed. June 22, 2017
Weinland Park / Wed. June 22, 2017

FREQUENTLY ASKED QUESTIONS ABOUT THE

ELEMENTARY SUMMER LEARNING OPPORTUNITY PROGRAMS

1. Can anyone attend the elementary Summer Learning Opportunitiesprogram?

Priority is given to currently enrolled Columbus City Schools' students, with a preference to students performing below grade level in reading. Students who live in the Columbus City School District attendance area, but attend a parochial or charter school can attend if space is available. Students who live outside of the district are not eligible to enroll in the elementary summer learning opportunity program.

1. Is there a charge to attend the elementary summer learning opportunity program?

There is no charge for currently enrolled CCS students.

1. Will transportation be provided for elementary summer school?

Transportation is provided for our elementary summer learning opportunity program.

1. Where do I turn in my registration form for the elementary summer program?

Registration should be completed online at website. The deadline to complete registration is Friday, June 9, 2017.

1. My child attends a parochial and/or charter school. Can my child attend the elementary summer school learning opportunity program?

Non-CCS students who live in the district may be accepted if space is available after all interested CCS students have registered. Students who live outside of the district are not eligible to enroll in the elementary summer learning opportunity program.

1. Who should I call if I have questions about the elementary summer learning opportunity programs or transportation?

You may call the summer school office at 365-5010.

1. Does my child have to stay for the lunch program?

No. If your child is in the K-5 program and does not stay for lunch, he/she should be picked up by 12:30 p.m.

1. How will I know which summer school location my child will attend?

After completing the online registration, your receipt will indicate your location. Registration does not guarantee acceptance since space is limited.

1. If my child doesn’t stay to eat lunch, can he/she take the lunch home?

No. Federal guidelines prohibit food from leaving the building.

1. If students are enrolled in the summer learning opportunity programs, can they participate in the Columbus Metropolitan Library Summer Reading Program?

Yes! Students enrolled in summer school will be signed up for the Columbus Library Summer Reading Program. Representatives from the Columbus Library will visit each summer school site to sign up students and then visit weekly to log in their reading minutes. Students will be eligible for the library prizes as they accumulate reading minutes.

1. I don’t want my child to say for the Boys and Girls Club program in the afternoon, will bus transportation be provided for them after lunch?

No. You must make arrangements to have your child picked up by 1:10. If a student is not picked up on time, it is CCS policy to contact Franklin County Children Services.

COLUMBUS CITY SCHOOLS

K-5 ELEMENTARY Summer Learning Opportunity Program -2017

REGISTRATION FORM

Please Circle the School where your child will attend summer school

Avalon (K-2 only), Binns, Gables, Northgate (3-5 only), Olde Orchard, Parsons

Full day sites:Clinton (K-3 only)

Weinland Park (3rd grade only)

Open only to students who are enrolled in Columbus City Schools. For additional information, contact the Summer School Office at 365-5010.

Only one student per registration form. Registration forms may be duplicated as needed. Additional booklets are available at all Columbus City Schools.

DEADLINE TO SUBMIT REGISTRATION FORM IS FRIDAYJune 9, 2017

PLEASE PRINT

Student Name

LastFirstMiddle

Date of Birth______/______/______Gender:Female MaleAge ___

MM DD YYYY

Address

Street City Zip

School where student is currently enrolled Grade Completed

Parent/Legal Guardian Name ______Relationship to child

Phone ( ) ______( ) ______( )

Daytime/Work Home Cell/Other

Does your child have a current Individualized Education Plan (IEP) on file? ___Yes ___No ___ Not Sure

Is your child enrolled in ESL (English as a Second Language) Program? ___Yes ___ No Not Sure

Parent/Legal Guardian Signature ______Date ______

IF SIGNATURE IS MISSING, REGISTRATION WILL NOT BE PROCESSED

/ EMERGENCY MEDICAL AUTHORIZATION
O.R.C. 33313.712
Columbus City Schools | Summer School 2017

Purpose: To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached.

Student Name:

/

Gender:

/

 Female  Male

/

Age:

Local Address:

Residential Parent/Guardian:

/

STREET

/

CITY

/

ZIP

Relationship to Child:

Phone:

/

( )

/

( )

/

( )

DAYTIME / WORK

/

HOME

/

OTHER

Parent/Guardian:

/

Relationship to Child:

Phone:

/

( )

/

( )

/

( )

DAYTIME / WORK

/

HOME

/

OTHER

Other Contact:

/

Relationship to Child:

Phone:

/

( )

/

( )

/

( )

DAYTIME /WORK

/

HOME

/

OTHER

**PART 1 OR PART 2 MUST BE COMPLETED**

PART 1 – TO GRANT CONSENT

In the event reasonable attempts to contact me or the other emergency contact at the above listed numbers have been unsuccessful, I hereby give my consent for:

1) The administration of any treatment deemed necessary (except surgery, see below) by either:

Preferred physician:

/

Dr.

/

Phone:

/

( )

Preferred dentist:

/

Dr.

/

Phone:

/

( )

2) The transfer of my child to the below hospital or any hospital reasonably accessible.

Preferred Hospital

/

Phone:

/

( )

3) Surgery, only if two licensed physicians agree that it is necessary to proceed without my notification.

Facts concerning the child’s medical history including allergies, medications being taken, and any physical impairments to which a physician should be alerted:

Signature of Parent/Guardian:

/

Date:

Address (if differs from above):

STREET / CITY / ZIP

** DO NOT COMPLETE PART 2 IF YOU COMPLETED PART 1 **

PART 2 – TO REFUSE CONSENT
I do not give my consent for emergency medical treatment for my child. In the event of illness or injury requiring treatment, I WISH THE SCHOOL AUTHORITIES TO

Signature of Parent/Guardian:

/

Date:

Address (if differs from above):

STREET / CITY / ZIP

TRANSPORTATION

The chart below shows each summer school location and the bus stop locations, along with the pickup/drop off time, for that site. A post card will be mailed the week of June 8 designating your summer school location and bus stop.

CLINTON ES / CLINTON ES (cont’d) / Weinland Park / Weinland Park Cont’d
Windsor-6:48/4:09 / Clearbrook MS-7:41/3:17 / Como- 6:50/4:09 / Ridgeview MS – 7:31/3.28
Old Gladstone-6:51/4:06 / Cleveland Ave & Gibbard- 7:46/3:21 / Oakland Pk.-6:54/ 4:06 / Kenwood ES – 7:34/3.25
Hamilton-6:54/4:04 / Cenntennial HS-7:08/3:51 / Huy-6:58/4:02 / Cranbrook ES – 7:40/3:19
Columbus Alt.-6:58/3:59 / Winterset- 7:12/3:47 / Innis- 7:04/3:55 / Kingswood ES – 7:45/3:14
Linden STEM-7:03/3:55 / Ridgeview-7:17/3:41 / Cassady-7:09/3:51 / Hubbard Mastery School – 7:51/3:08
East Linden-7:09/3:49 / Kenwood-7:22/3:37 / Brentnell Ave @Charles Sch- 7:16/3:44 / Old Moler ES – 6:43/4:15
South Mifflin-7:16/3:42 / Cranbrook- 7:27/3:32 / South Mifflin-7:22/3:37 / New Moler ES – 6:46/4:13
Brentnell@Charles School-7:23/3:36 / Kingswood-7:33/3:26 / East Linden-7:29/3:30 / Watkins ES – 6:52/4:06
Cassady-7:30/3:29 / Hubbard- 7:39/3:21 / Linden STEM-7:34/3:24 / Cedarwood ES – 7:01/3:58
Innis-7:34/3:24 / Weinland-7:42/3:17 / Columbus Alternative HS-7:39 /3:20 / Stockbridge ES – 7:05/3:53
Huy-7:41/3:18 / Columbus International-7:48/3:10 / Hamilton- 7:44/3:15 / Buckeye MS – 7:09/3:49
Oakland Pk.-7:45/3:14 / Indianola Alt.-7:52/3:07 / Old Gladstone- 7:46/3:13 / 280 E. Reeb Ave.(formerly Reeb ES) 7:13/3:45
Como-7:48/3:10 / Old Moler- 6:39/4:19 / Windsor- 7:49/3:09 / Southwood ES – 7:16/3.42
Old Spanish Immersion-6:46/4:14 / New Moler- 6:41/4:16 / Olde Orchard-6:55/4:02 / Lincoln Park ES – 7:20/3:38
North Linden-6:50/4:09 / Watkins- 6:48/4:09 / Oakmont- 7:03/3:55 / Siebert ES – 7:25/3:33
Maize-6:55/4:04 / Cedarwood- 6:57/4:01 / Woodcrest- 7:09/3:50 / South HS – 7:28/3:31
Valley Forge-6:59/4:00 / Stockbridge-7:01/3:56 / A+Arts Academy- 7:16/3:42 / Deshler ES – 7:33/3:27
Northland HS-7:04/3:55 / Buckeye MS-7:05/3:52 / Liberty- 7:20/3:39 / Livingston ES – 7:36/3:24
Beechcroft HS-7:12/3:47 / Southwood- 7:11/3:46 / Leawood-7:28/3:31 / Fairwood ES – 7:40/3:20
Northgate Intermediate-7:15/3:43 / Lincoln Park- 7:15/3:42 / Walnut Ridge HS-7:32/3:26 / Ohio Ave. ES – 7:43/3:17
Devonshire-7:21/3:38 / Siebert- 7:20/3:37 / Sherwood MS-7:36/3:23 / A+ Arts Academy – Fair – 7:46/3:14
Forest PK.-7:27/3:32 / South HS-7:23/3:35 / Easthaven- 6:56/3:59 / West Mound ES – 6:46/4:10
Salem-7:33/3:25 / Deshler-7:28/3:31 / Berwick- 7:09/3:50 / Lindbergh ES – 6:50/4:06
Worthington Christian-7:42/3:17 / Livingston-7:31/3:28 / Scottwood- 7:13/3:46 / Binns ES – 6:55/4:01
Dominion-7:47/3:12 / Fairwood-7:35/3:24 / Johnson Park MS -7:18/3:41 / Georgian Heights ES – 7:02/3:55
Olde Orchard-6:39/4:17 / Ohio-7:38/3:21 / Fairmoor ES – 7:23/3:35 / Eakin ES – 7:05/3:52
Oakmont-6:47/4:11 / A+Arts Academy-7:41/3:18 / Broadleigh ES(OGT) – 7:29/3:30 / Westgate ES – 7:12/3:45
Woodcrest-6:53/4:05 / Sullivant- 6:43/4:15 / East Columbus ES – 7:35/3:25 / Burroughs ES – 7:15/3:41
A+Arts Academy-7:00/3:58 / S Grubb St@W State St.-6:48/4:10 / Eastgate ES – 7:40/3:19 / Valleyview ES – 7:22/3:36
Liberty-7:04/3:54 / Avondale- 6:50/4:07 / Trevitt/Beatty Park ES – 7:44/3:15 / West Broad ES – 7:25/3:34
Easthaven-7:15/3:44 / Old Dana-6:53/4:05 / Clearbrook MS – 7:48/3:12 / Highland ES – 7:28/3:32
Leawood-7:24/3:35 / Highland-6:59/3:59 / Cleveland Ave. & Gibbard – 7:52/3:07 / Old Dana ES – 7:33/3:26
Walnut Ridge HS-7:28/3:30 / West Broad- 7:01/3:57 / Dominion MS – 6:39/4:19 / Avondale ES – 7:36/3:23
Sherwood MS-7:32/3:27 / Valleyview- 7:04/3:55 / Worthington Christian ES – 6:44/4:14 / S. Grubb St.@ W. State St.- 7:39/3:22
Berwick-7:02/3:56 / Burroughs- 7:10/3:50 / Salem ES - 6:53/4:05 / Sullivant ES – 7:43/3:16
Scottwood-7:06/3:51 / Westgate- 7:14/3:46 / Forest Park ES – 6:59/3:59
Johnson Park- 7:11/3:46 / Eakins-7:21/3:39 / Devonshire ES – 7:05/3:53
Fairmoor-7:16/3:41 / Georgian Hts.- 7:24/3:36 / Northgate Intermediate – 7:11/3:47
Broadleigh- 7:22/3:36 / Binns- 7:30/3:29 / Beechcroft HS - 7:14/3:44
East Columbus- 7:28/3:30 / Lindbergh- 7:35/3:25 / Northland HS – 7:22/3:37
Eastgate- 7:34/3:24 / West Mound- 7:39/3:21 / Valley Forge ES – 7:28/3:31
Trevitt- 7:37/3:21 / Maize ES – 7:32/3:27
North Linden ES – 7:37/3:22
Old Spanish Immersion – 7:41/3:18
Columbus International HS – 7:06/3:53
Indianola Alternative K-8 – 7:08/3:51
Clinton ES – 7:13/3:47
Centennial HS – 7:20/3:39
Winterset ES – 7:24/3:35
AVALON / BINNS / GABLES
Salem – 7:26/4:32 / Sullivant-7:32/4:05 / Columbus International-7:22/4:34
Forest Park – 7:33/4:25 / S Grubbs St@W State St.-7:37/4:27 / Clinton- 7:25/4:28
Devonshire -7:39/4:20 / Avondale-7:39-4:19 / Indianola Alternative-7:28/4:31
Northgate Intermediate-7:45/4:14 / Old Dana-7:42/4:17 / Glenmont-7:32/4:23
Beechcroft HS-7:49/4:10 / West Mound-7:46/4:13 / Colerain- 7:39/4:19
Windsor-7:01/4:55 / Burroughs-7:50/4:09 / Indian Springs-7:44/4:15
Old Gladstone-7:05/4:52 / Binns-7:55/4:05 / Whetstone HS-7:46/4:13
Hamilton-7:08/4:49 / Highland-7:29/4:31 / Weiland Park-7:19/4:40
Columbus Alt.-7:12/4:45 / West Broad-7:31/4:28 / Hubbard- 7:22/4:36
Linden STEM-7:17/4:40 / Valleyview-7:34/4:25 / Kenny & King-7:28/4:31
East Linden-7:23/4:34 / Westgate-7:42/4:17 / Cranbrook- 7:33/4:26
South Mifflin-7:30/4:28 / Georgian Hts.-7:48/4:11 / Kenwood-7:38/4:20
Cassady-7:40/4:19 / Eakin-7:50/4:09 / Ridgeview MS-7:42/4:17
Innis-7:45/4:14 / Winterset- 7:47/4:12
Como-7:17/4:43 / Centennial HS-7:52/4:07
Oakland Pk-7:21/4:39
Huy-7:25/4:35
North Linden-7:30/4:29
Old Spanish Immersion-7:4/4:24
Maize-7:42/4:18
Valley Forge-7:46/4:13
Clearbrook MS-7:24/4:35
Eastgate-7:30/4:29
Trevitt/Beatty Pk-7:33/4:26
Monroe MS-7:36/4:23
Cleveland Ave & Gibbard-7:39/4:20
NORTHGATE / OLDE ORCHARD / PARSONS
Linden Pk.-7:08/4:49 / Southwood- 7:36/4:25 / Fairwood- 7:32/4:27
McGuffey Rd-7:13/4:45 / Leawood-7:43/4:18 / CCS Girls Prep- 7:35/4:24
Como- 7:16/4:43 / Woodcrest- 7:48/4:12 / Ohio- 7:37/4:22
Oakland Pk.- 7:19/4:39 / East Columbus- 7:17/4:44 / Livingston- 7:39/4:20
Maize- 7:23/4:35 / Broadleigh-7:22/4:38 / South HS- 7:43/4:16
Valley Forge- 7:27/4:31 / Fairmoor- 7:28/4:32 / Lincoln Park- 7:47/4:13
Salem- 7:35/4:23 / Johnson Park- 7:33/4:27 / New Moler-7:29/4:30
Forest Park- 7:43/4:16 / Berwick- 7:39/4:21 / Moler- 7:32/4:27
Devonshire- 7:49/4:10 / Easthaven- 7:16/4:46 / South Scioto Performance-7:36/4:22
Windsor Pk.-7:09/4:51 / Liberty- 7:26/4:35 / Watkins- 7:43/4:16
Hamilton-7:11/4:48 / A+Arts Academy-7:30/4:31 / Marion Franklin HS-7:46/4:13
Old Gladstone-7:14/4:46 / Shady Lane- 7:38/4:22 / Cols. Gifted Academy- 7:29/4:30
South Mifflin-7:21/4:38 / Walnut Ridge HS-7:41/4:20 / Siebert- 7:31/4:28
East Linden-7:28/4:31 / Oakmont- 7:48/4:13 / Stewart- 7:33/4:26
Cassady-7:36/4:23 / Southwood- 7:36/4:23
Innis- 7:41/4:18 / Columbus Scioto- 7:40/4:19
Huy-7:23/4:38 / Cedarwood- 7:46/4:13
N. Linden- 7:29/4:32 / Stockbridge- 7:50/4:09
Old Spanish Immersion-7:33/4:28
Northtowne Blvd-7:37/4:23
Parkmoor-7:43/4:18
Avalon-7:48/4:13
Cleveland Ave & Gibbard- 7:22/4:37
Monroe-7:26/4:33
Trevitt/Beatty Park-7:28/4:31
Eastgate- 7:32/4:28
Clearbrook MS-7:37/4:22

TRANSPORTATION SELECTION FORM

Summer School and Bus Stop Location Selection: Please select a summer school site and indicate yourpreferred bus stop from the list of available stops for the site (see pages9 and 10). Parents may elect to transport students or indicate that students will walk.

______AvalonES: (K-2 only)

I have selected the following Avalon bus stop from the approved list: ______

______Binns ES:

I have selected the following Binns bus stop from the approved list: ______

______Clinton ES :( 2nd and3rd grade only) No transportation for grades K-2

I have selected the following Clinton bus stop from the approved list for 3rd grade only ______

I understand that I must provide transportation for my K-2) student.

______Gables ES:

I have selected the following Gables bus stop from the approved list: ______

______Northgate ES :( 3-5 only)

I have selected the following Northgate bus stop from the approved list: ______

______Olde Orchard ES:

I have selected the following Olde Orchardbus stop from the approved list: ______

______ParsonsES

I have selected the following Parsons bus stop from the approved list: ______

______Weinland Park ES: (3rd grade only)

I have selected the following Weinland Park bus stop from the approved list for 3rd grade only: ______

My child will be dropped off by: ______. My child will be picked up by: ______

Parent/Guardian Signature: ______

Don’t need bus transportation?

(Check all that apply)

______I will provide transportation for my child to school in the morning.

______I will provide transportation for my child from school in the afternoon.

______My child will walk to/from school

Parent Signature______

PLEASE MAKE NOTE OF YOUR CHOSEN BUS STOP AND RETURN THIS PAGE WITH YOUR REGISTRATION FORM

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