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S.T.E.P Registration

To effectively address unfinished learning and to provide students with additional opportunities for learning and growth during the summer months.Elements of the Sci High Summer Program will include both academics and enrichment, eliminating barriers for students accessing summer learning whileaddressing the social and emotional well-being of participants.

Program Selection

Please indicate the program you are registering for:
Step Ahead Only (Select One):

Student Information

Name:
Age:
Street Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
E-Mail Address:
2021 - 2022 School Year Grade Level:
T-Shirt Size
Primary Transportation Method

Family Inforamtion

Parent/Guardian's Full Name:
Relation To Student:
Street Address:
City:
State:
Zip Code:
required:
Cell Phone:
E-mail Address:

Emergency Contact

In case of an emergency please contact:
Phone Number
Relation to Student
If for any reason I/we cannot be reached, please contact the following person(s) whom I/we hereby authorize to seek emergency medical or surgical care for my/our child
Phone Number
Relation to Student

Dietary and Medical Information

Does the student you are registering have any medical issues we should be aware of
If yes, please explain.
Does the student have any special diet needs
If yes, does the student have a disability that requires a special diet
If yes, describe the major life activities affected by the disability.
If no, list the medical condition that requires special nutrition or feeding needs.