JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
University Park Spring 2018 Enrichment Registration
Please complete this form to register your student for the University Park Spring 2018 Enrichment Session.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student's Grade/Teacher
*
Choose
K - Havenar
K - Alley
K - Cardenas
K - Hale
1 - Hays
1 - Laurent
1 - Moss
2 - Archambault
2 - Reynolds
2 - Kaplan
3 - Jackett
3 - Smith
3 - Wilson
4 - Ostrom/Wise
4 - Morton
4 - Bryers
5 - McMahon
5 - Nakashima
5 - Kull
Not Listed
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Contact Number
*
Your answer
Emergency Contact/Authorized for Pick-Up (Name/Phone Number)
*
Your answer
Emergency Contact/Authorized for Pick-Up (Name/Phone Number)
*
Your answer
I do hereby authorize the NC staff to contact the person(s) named above in case of emergency.
*
Your answer
How will your child be leaving class? Dismissed to Black Top (for AM Enrichment's ONLY),Parent pick up, Discovery Link program, walk/bike on own, etc.)
*
Your answer
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of Denver Public Schools.
Report Abuse
Forms
