Small Town Times May Newsletter - Page 8

Small Town Times May 2018 SUMMER SCHOOL REGISTRATION June 11 —July 20, 2018 Please register by June 1, 2018 Student’s Name:___________________________________________________________ Parent Name:_____________________________________________________________ Address: _________________________________________________________________ Phone Number: ___________________________________________________________ Grade child was in during the 2017-2018 School Year: (circle one) PK K 1 2 3 4 5 6 Emergency Contact Information: Name:______________________________ Relationship: _______________________ Phone: _____________________________ Doctor:_____________________________ Address: ____________________________ Town:_____________________________ My child ay be released to the following individuals:__________________________________ _____________________________________________________________________________ My child may NOT be released to the following individuals: ______________________________ _____________________________________________________________________________ Please list any special instructions or helpful information about your child: (For example: food allergies, fears, special interests, etc.) ______________________________ _____________________________________________________________________________ ____________________________________________________________________________ We will be working with the Greenhouse this summer. The flowers pots downtown have been beautiful. We will be watering them at least twice a week. Return to the Litchfield School office or Mrs. Sadler as soon as possible. Classes will be June 11—July 20, 2018 (No school 4 th of July) Hours: 8:30—12:00 Monday through Friday School Phone: 308-446-2244 8