Students in grades 6 through 8 who have failed English or Math will be retained in their current grade unless they successfully complete summer school. 
No exceptions. Middle School Summer school will offer English, Math, and Science.

Breakfast and lunch will be provided. Transportation Provided via pick-up points.

Directions:

1. Complete all of the information below.
2. A parent/guardian must attest to the contents of this form.

Student Details

Student Id

First Name

Last Name

Dr. Marian G. Lacey K-8 Academy Middle School Dunbar Magnet Middle School Forest Heights STEM Academy Middle School J.A. Fair K8 Preparatory Middle School Mabelvale Middle School Mann Magnet Middle School Pinnacle View Middle School Pulaski Heights Middle School

School Currently Attending

6 7 8

Current Grade

Address

City

State

Zip Code

Parent/Guardian Details

First Name

Last Name

Relationship

Home Phone

Work Phone

Cell Phone

Emergency Phone

Email Address

Middle School Schedule

• June 11 – July 10, 2024
• Hours 8:00 - 11:30 & 12:00 - 3:30
• Breakfast & Lunch provided

My student requires a device.

YesNo

Transportation Required.

YesNo

Parent/Guardian Verification

Type Your Full Name

 1/25/2025

Current Date

By selecting this checkbox,
you attest you are the Parent/Guardian of the student listed above.