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2023 KSB Summer School Application
Application for KSB summer programs.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Week(s) Attending
*
Week 1: May 30- June 2 (KSB Ele/Middle)
Week 2: June 5-9 (Statewide Ele/Middle)
Week 3:June 12-16 (Statewide HS)
Week 4: June 19-23 (KSB HS)
Required
Student Grade for 2023/2024 School Year
*
Your answer
Student gender
*
Male
Female
Non-binary
Student race
*
Your answer
Student eye condition
*
Your answer
Student visual acuity
*
Your answer
School District
*
Your answer
Student's TVI
*
Your answer
Home School
*
School student attends or would attend in home district
Your answer
County of Residence
*
District of residence
Your answer
Parent/guardian name that student lives with
*
Please provide custody documentation if appropriate
Your answer
Parent/guardian email address
*
Your answer
Parent/guardian phone number
*
Your answer
Preferred Contact Method
*
Text
Email
Phone Call
Other:
Required
Does the student plan to stay in the dorm?
*
Yes
No
Are you able to transport your student to and from KSB?
*
Yes
No
Other:
Student T-Shirt Size
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Other:
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Does the student have any allergies? If yes, please list.
Your answer
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