Lincolnwood School District Summer School Registration 2016
Welcome!
Summer School will run from July 18 - August 18

Registration for District 74 students: Monday, April 4, 2016
Registration for non-district 74 students: Monday, April 11, 2016
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IMPORTANT - PLEASE READ!
This form is for FIRST-TIME REGISTRANTS ONLY. If you have already registered and would like to make a change to your child's schedule, please call the district office at 847-675-8234. PLEASE DO NOT SUBMIT CHANGES ON THIS FORM. Thank you!
Student Information
Does your child attend Lincolnwood School District 74: *
If your answer is "No," please wait until April 11, 2016 to register. Your registration will not be accepted prior to April 11.
Last Name *
First Name *
Gender *
Home Address *
Number/Street
City *
Zip *
Home Phone *
xxx-xxx-xxxx
Current School *
Non-District 74 Registration will open Monday, April 11.
2015 - 2016 Grade Level *
Contact Information
Father's Name *
First & Last
Day Address *
Day Phone *
xxx-xxx-xxxx
Mother's Name *
First & Last
Day Address *
Day Phone *
xxx-xxx-xxxx
Emergency Contact - Please provide a person that is NOT the parent/guardian. *
First & Last Name
Relationship *
Neighbor, family friend, relative
Emergency Contact Phone *
xxx-xxx-xxxx
Physician *
Physician Phone *
xxx-xxx-xxxx
Is the student taking any medications? *
Required
If yes, what?
Does your child have any special needs? Or, is there any information about your child that should be known in case of an emergency (allergies, asthma, etc.)? *
Please type NONE if there are no special needs.
Class Registration
1.  Please select a class for each time slot. If you are not taking a class at a specific time, please select NOT APPLICABLE.  

2.  A class will be CLOSED when it reaches the max number of students allowed. Registration is on a first come first serve basis. Once a class is full, additional students will not be granted access.


Primary Contact Email *
Your child's schedule will be sent to this email address.
If a class is not available in the drop down list, it has reached the maximum number of students and is CLOSED. Please make another selection.
8:30 Course Offerings *
If a class is not listed below, it is closed.
9:30 Course Offerings *
If a class is not listed below, it is closed.
10:30 Course Offerings *
If a class is not listed below, it is closed.
11:30 Course Offerings *
If a class is not listed below, it is closed.
Method of Payment *
BEFORE YOU SUBMIT - IMPORTANT
A confirmation email will be sent to you within TWO BUSINESS days. These are not automated emails, so we appreciate your patience.  If you registered for a class that is closed, we will ask you to make another selection for that time period.

*You will NOT be guaranteed a spot in your classes until payment is received.*
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