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Summer-Enrichment-Program-2015-Brochure

Summer-Enrichment-Program-2015-Brochure

Name Parent/Guardian Address 2015 Salem Summer Program Registration Form (Please Print) Salem School District Summer Program 2015 Home Phone Parent Email Parent’s Daytime Phone Current School Entering Grade: T-Shirt Size (Salem Explorers Only) ___________ Course(s) desired: Parent’s Signature: Check here if the student has an IEP _____ Enrichment Program Please return the above registration form along with your deposit by Friday, June 12th. For any additional information, please contact Michael Courtois at Salem High School (893-7069 x 5292) or mcourtois@sau57.org

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