Trio Summer Academy 2022

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The Summer Academy offers students an exciting and engaging program of academic instruction, career, college and personal development activities. Meals, instructional supplies, bus tickets and other items will be provided. All services and activities are FREE for the students and families whom we serve.

Registration will take place until Friday, May 26, 2022.

Parents are asked to complete the bottom section of this registration form. Return your completed registration form to the Upward Bound Math/Science office. If you plan to participate in Y.O.U. the deadline for Summer registration is May 1, 2022.

Attend the Summer Academy Orientation on Saturday, June 11, 2022. More information about the orientation will be sent out as the date approaches. Students are required to attend this orientation before the summer program. Students, please encourage your parent or guardian to attend orientation with you.

Student Name: *

Street Address: *

City: *

Zip: *

Home Phone: *

Email: *

Student’s Current High School: *

In the FALL of 2023 I will be in the: *

9th grade10th grade11th grade12th grade

T-shirt Size: *

Father/Guardian: *

Daytime phone: *

Address: *

City: *

State: *

Zip: *

Mother/Guardian: *

Daytime phone: *

Address: *

City: *

State: *

Zip: *

Parent/Guardian email: *

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