Name *

First Name

Last Name

Has your child been invited to attend summer school? *

Yes

No

I don't know

If yes, are you planning to send your child to summer school?

Yes

No

Not sure

Would you like for your child to attend STEP's Summer Enrichment Program? (Monday-Thursday afternoons, July 5th-July 29th) *

Yes

No

Phone *

(###)

###

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