☀️ Summer Boost Interest Form

Program Overview:

Elementary & Middle School (Rising Grades K–9): ELA, Math (Summer Boost) + Afternoon Enrichment
High School (Grades 9–12): Credit Recovery.

Program Dates:

ES/MS: July 9 – August 7
HS: July 14 (Student Orientation) – August 7
August Regents Prep: Mid-August (August 12–17 range), followed by Regents exams.

Submitting this form indicates interest only. Final eligibility and enrollment will be confirmed by the school.

Student Full Name

First NameLast Name

Current Grade (2025–2026 School Year)

School Site

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Email Address

example@example.com

Has your child been recommended by the school to attend summer school?

Does your child require any special accommodations?

I am interested in enrolling my child in Summer School

Program Type of Interest

Areas where support is needed (Select all that apply)

Preferred Schedule (Select all that apply)

Additional Comments or Questions

Thank you for your interest. Our team will follow up directly with families regarding eligibility, enrollment, and next steps.