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Summer Boost Student Enrollment Form

This is the application form for enrollment in the 2024 Summer Boost Program at Lighthouse Public Schools. 

Please complete the form below. Required fields marked with an asterisk *

Students current enrolled in Kindergarten through 8th grade can apply to attend.  The program will be an exciting 20 days during June 2024 filled with learning experiences in music, art, theater, math, and English.   

Contact Information
Current Grade*
Answer Required
Contact Information
Required Commitments*
Answer Required

If you have multiple children you would like to register, you will need to complete a seperate form for each one.  If you are having trouble registering, please contact Mr. Carothers at [email protected]

Signature*
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By pressing “Sign Form,” you are agreeing to signing this form electronically.
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Date:
Confirmation Email